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/5 ( <br /> PUBLICORKS PERMIT Date: 1 X912016 <br /> Public Works Permit#: PW1701-003 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 135.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FILIPPOV DANIEL&SVETLANA FILIPPOV SVETLANA <br /> 3615 GEYER LN <br /> EVERETT WA 98203-1207 <br /> PHONE: 4252316622 PHONE: <br /> TAX PARCEL ID# 00433600005204 SITE ADDRESS: 3615 GEYER LN <br /> SITE WORK FOR NEW SFR <br /> DRAINAGE, PAVING, EROSION CONTROL. <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. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works <br /> Department dated 3/31/2017 and Stormwater Management Questionnaire approved on <br /> 1/4/2017. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior [�I <br /> to starting construction and with other inspection requests. <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and <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 <br /> roadway. <br /> 8. Protect all existing underground utilities during construction. <br /> 9. A sprinkler system is required for this building in compliance with the requirements of Z <br /> NFPA Standards 13D. <br /> Public Works Permit Fee Breakdown: tt'RL/ <br /> E...lPaving $45.00 <br /> Erosion Control $50.00 c <br /> PW Plan Review $20.00 MAR 31 2017 <br /> PW Site Inspection $20.00 a <br /> CITY OF EVERETT <br /> Permit Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> / City of Everett from any and all claims for damages,costs,expenses,or <br /> X11 1 1.11 L. OW 3-3l-0 7- causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> pp remove same upon notice from the City and to replace public property <br /> damage• - -:!� <br /> FINAL INSPECTION Date _„� / <br /> Approved as Constructed Signat, of A.plicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PER S ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />