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PUBLIC.VORKS PERMIT Date Applied: 10/17/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1810-046 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: C1807-009 <br /> Everett,WA 98201 Planning Reference#: <br /> - <br /> (425) 257-8810 Public Works Fee: $45.00 <br /> 1 7 OCT 261 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JANKOWSKI PHILIP K& MARIANNA D MARTINE AARON <br /> 5009 SOUND AVE 19112 40TH AVE W <br /> EVERETT, WA, 98203-1222 LYNNWOOD, WA, 98036 <br /> PHONE: PHONE: 4254094616 <br /> TAX PARCEL ID#: 00571700400900 SITE ADDRESS: 5009 SOUND AVE <br /> DESCRIPTION: TRENCHING FOR ELECTRICAL SERVICE <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 10/17/2018. <br /> 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 prior to starting construction for a <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requeste4ee7g <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 directjlgsacjf?t PV nspector. <br /> Remove upon completion of the project prior to final approval of the permit. Al '--4 <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. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Call the inspe8tion (f'f!o <br /> request a Final for this permit when all items have been completed. <br /> ra <br /> Public Works Permit Fee Breakdown: ' <br /> Misc. Minor Permits (trenching) $25.00 571- <br /> PW Site Inspection $20.00 c..71 •E"; <br /> 'F .. <br /> 8 0 Gra a Wa ,•-• C' <br /> L a I—,, <br /> —43 <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 /> /07/7// <br /> O / /0 expenses,or causes of action that may arise because of installation and <br /> / l 0 maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and furth- -• ees to r- •• same upon notice from the City and to <br /> replace p •is prop:rty•:mage' thereby. <br /> FINAL INSPECTION Date ` I Lb—/7—(Y— <br /> Approved as Constructed (PW Inspector) Signature; A. _. 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 /> Fl <br />