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PUBLICIORKS PERMIT Date Applied: 5/2/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1805-006 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: C1805-002 <br /> Everett,WA 98201 Planning Reference#: SS11-001 <br /> (425) 257-8810 Public Works Fee: $160.00 <br /> 08 AUG 2018 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> THOMPSON PAUL A& H JOAN PAUL THOMPSON <br /> 15028 228TH ST SE 15028 228th S.E. <br /> SNOHOMISH, WA, 98296-5479 SNOHOMISH, WA, 98296 <br /> PHONE: PHONE: 2069203090 <br /> TAX PARCEL ID#: 00505700005105 SITE ADDRESS: 4620 SEAHURST AVE <br /> DESCRIPTION: SITE WORK FOR NEW SFR ASSOCIATED WITH SHORT PLAT SS11-001 <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;� 2Q'I�" <br /> Approved plans must remain on job-site at all times. S 248 <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 per the direction of the PW Inspector. <br /> Remove upon 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. Protect all existing underground utilities during construction. <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or <br /> easements and the improvements located therein. <br /> 10. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Call the inspection line to <br /> request a Final for this permit when all items have been completed. <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control (Residential) $50.00 <br /> Paving (456sf) $45.00 <br /> Misc. Minor Permits (Drainage Work) $25.00 <br /> PW Plan Review $20.00 AUG 0 8 2018 <br /> PW Site Inspection $20.00 <br /> CITY OF EVERETT <br /> Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> I / The undersigned owner/applicant hereby agrees to hold and save <br /> A � 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 /> �� <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> Er721/2( <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature of Applicant bate <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 /> r/Le <br />