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PUBLIC ARKS PERMIT �teApplied: 4/6/2018 <br /> eP41600,0,00.41 City of Everett Permit Services Public Works Permit#: PW1804-012 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: C1804-002 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $444?88 t ( 0.Oa <br /> 13 jut. 2018 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KRAVCHUK SERGEY& OLGA OWNER <br /> 10402 33RD ST SE <br /> LAKE STEVENS, WA, 98258 <br /> PHONE: 4252199149 PHONE: <br /> TAX PARCEL ID#: 00392900801201 SITE ADDRESS: 1412 63RD ST SE <br /> DESCRIPTION: NEW SFR DETACHED <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett`Design and Construction Standards <br /> and Specifications for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 06/29/2018. <br /> Approved plans must remain on job-site at all times during construction. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requested. See the <br /> attached handout for phone number and online instructions to Request an Inspection. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved TESC plan. Remove upon <br /> completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Connect side sewer per City Standard#'s 601 through 604. <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced i ,,c/...us surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including th 1 , • -way and/or <br /> easements and the improvements located therein. <br /> 10. This permit must be finaled in order to close out this permit and prior to granting of a Certif atd O cupanr�tzyyi I he <br /> inspection line to request a Final for this permit when all items have been completed. /3 4,a <br /> Cj <br /> Public Works Permit Fee Breakdown: <br /> Paving (Curb & Sidewalk Restoration) $45.00 4 der //� �, <br /> Minor Erosion Control $50.00 ices <br /> Fence in Right-of-Way $25.00D <br /> PW Plan Review $20.00 JUL 13 2018 <br /> PW Site Inspection $20.00 <br /> CIT <br /> Permit 4 E7' ' <br /> Permit serV-jCQ� <br /> City of Everett Official Use Only ACK'`�OWCEDGEMENT OF CONDITIONS <br /> ta jcielA The undersigned owner/applicant hereby agrees to hold and save <br /> 7/55/2018 harmless the City of Everett from any and all claims for damages,costs, <br /> expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Const ction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> repl+ ..aic property damaged thereby. <br /> FINAL INSPECTION Date u/ <br /> Approved as Constructed (PW Inspector) Signature of Applicant Dat <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br /> FILE <br />