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PUBLICIORKS PERMIT <br /> Mate Applied: 7/28/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1707-052 <br /> 3200 Cedar Street Assoc. Bldg Permit#: B1707-059 <br /> Everett,WA 98201 Planning Reference#: SS16-004 <br /> { (425)257-8810 Public Works Fee: $15,110.17 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CATHOLIC HOUSING SERVICES ENVIRO WORKS COMMUNITY DESIGN <br /> 100 23RD AVE S CENTER <br /> SEATTLE, WA, 98114 <br /> CONTACT: BILL SINGER <br /> PHONE: 206-328-5654 PHONE: 206-787-1372 <br /> TAX PARCEL ID#: 28050600400900 SITE ADDRESS: 6200 12TH DR SE <br /> DESCRIPTION: SITEWORK FOR NEW SUPPORTIVE HOUSING BLDG <br /> Project Name: Everett Safe Streets Supportive Housing (ESSSH) <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 and drainage report approved by the City of Everett Public Works Department dated <br /> 2/8/2018. Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 with any questions. All inspections must <br /> be formally requested using one of our three inspection scheduling methods. See the attached handout for phone number <br /> and online instructions to Request an Inspection. <br /> 6. City of Everett Water Department crews shall make all connections to City water main at owner/contractor's expense. <br /> This work to be under separate Utility Permits to be purchased at the Permit Services Counter per a cost estimate by the <br /> Water Department.Work shall be scheduled 3-4 weeks in advance. <br /> 7. As-builts of storm, sanitary sewer, and water systems will be required to be submitted to the PW Inspector per City <br /> Design and Construction Standards and Specifications for Development prior to final approval/close out of the permit. <br /> 8. A 1-year Warranty Bond in the amount of 10% of the construction costs for all public improvements shall be submitted to <br /> the City prior to final approval/close out of the permit. <br /> 9. A 2-year Warranty Bond in the amount of 10% of the construction costs for all Stormwater Infrastructure shall be <br /> submitted to the City prior to final approval/close out of the permit. <br /> 10. A Landscape Inspection is required by the Planning Department prior to final by the Public Works Inspector. Contact the <br /> Planning Department at 425-257-2273 to schedule the inspection. <br /> 11. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. fiii I �c;�on�nu; <br /> request for this permit when all items have been completed. �� <br /> Public Works Permit Fee Breakdown: <br /> Paving (9,920SF) $49.60 <br /> Erosion Control $200.00 APR 0 5 2013 <br /> Grade/Fill/Excavate(2257CY) $260.00 <br /> PW Plan Review $4,866.86 CITY OF EVERETT <br /> PW Site Inspection $9,733.71 Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> Jat,h6t_ avt._ O O q S'r' zom 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 Construction (Public Works) at for and further agrees to remove same upon notice from the City and to <br /> repla,p,lic . *'erty damaged thereby. <br /> FINAL INSPECTION Date - � -�!� —9deI <br /> Approved as Constructed (PW Inspector) ignature of Applicant Date <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 />