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PUBLICORKS PERMIT II�teApplied: 10/9/2018 <br /> ellifre,,,..4 City of Everett Permit Services Public Works Permit#: PW1810-024 <br /> 3200 Cedar Street,2nd Floor Associated Bldg Permit#: C1808-006 <br /> Everett,WA 98201 Planning Reference#: <br /> v---qvititg2 .11- <br /> (425) 257-8810 Public Work ee: $85.00 . <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ArAFis4P V 2U id <br /> AMPUDIA ERICK/HANAOKA MIZUKI AMPUDIA ERICK/HANAOKA MIZUKI <br /> 1005 91ST PL SE 1005 91ST PL SE <br /> EVERETT, WA, 98204 EVERETT, WA, 98204 <br /> PHONE: 4256266425 PHONE: 4256266425 <br /> TAX PARCEL ID#: 00703500002100 SITE ADDRESS: 1005 91ST PL SW <br /> DESCRIPTION: New addition and parking area <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 10/09/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction for a <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requeste#Sealim <br /> attached handout for phone number and online instructions to Request an Inspeetiorro 1•-J•!--',—• i...,1-••y--- . LI'~' <br /> 6. Install and maintain erosion control measures per City of Everett Stan ds,at�d,-a rgv�d, 1�6f'- ,P-(_'! . Remove upon <br /> completion of the project prior to final approval of the permit. �-- x a LI, ': - c <br /> ,-.aR C:.'"3 r T :z:,-.T ,---i t--i <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked orp road*ay. tr7.= ; Ia—I <br /> 8. Protect all existing underground utilities during construction. <br /> I.i ; <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff f, m nevOpplaced impervious suAce ,41Fbe <br /> managed on-site in a manner that does not adversely affect neighboring progerties, ificluding the City's right-of-way'aI341/or <br /> easements and the improvements located therein. V <br /> 10. This permit must be finaled in order to close out this permit/grant a Certifte of Occupancy. Call the inspection lime to <br /> 4 R <br /> request a Final for this permit when all items have been completed. µ f fir. <br /> 11. All work constructed within the public right-of-way must be removed or .telo i! t:01t~�';• . se if the Cifi ever <br /> cri <br /> requires use of the right-of-way for municipal purposes. °� ,��, ,,K..•�., ;;�,�;�,_ ,s_, <br /> Public Works Permit Fee Breakdown: <br /> Paving (238SF) $45.00 ' ' <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <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 /> `O/a4/ 8 expenses,or causes of action that may arise because of installation and <br /> �—� AL— / maintenance of the improvement or other right-of-way use here to applied <br /> Approved for onstruction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public prope " .a .-•ed thereby. <br /> 4 <br /> FINAL INSPECTION Date _'All °��■i�'�` <br /> Approved as Constructed (PW Inspector) ignature of A. o Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED ' D 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 /> c/L_.. Coe <br />