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PUBLICOIORKS PERMIT LkDateApplied: 3/8/2019 <br /> elP*O../Atoo, City of Everett Permit Services Publi rks Permit#: PW1903-019 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: C1812-009 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $173.00 <br /> ��$ 11 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND AD ES <br /> HAACK BROTHERS INC HAACK BROTHERS INC <br /> 9012 4TH AVE W 3922 87TH AVE NE <br /> EVERETT, WA, 98204 MARYSVILLE, WA, 98270 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: 28041300206000 SITE ADDRESS: 9010 4TH AVE W <br /> DESCRIPTION: NEW SFR <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 03/08/2019. <br /> Approved plans must remain on job-site at all times. <br /> 5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at pw.everettwa.gov to <br /> formally request all required inspections. Flyers are provided at permit issuance with instructions on how to request an <br /> inspection online. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon <br /> 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. Request a final inspection <br /> online by selecting PW 22-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items <br /> have been completed. <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever <br /> requires use of the right-of-way for municipal purposes. <br /> 12. Roof run-off to be directed to splash blocks. <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control $50.00LE <br /> MAR 2 9 2019 <br /> Grade/Fill/Excavate (140CY) $58.00 <br /> Misc. Minor Permits (Drainage Work) $25.00 CITY OFEVERETT <br /> PW Plan Review $20.00 Permit Services <br /> PW Site Inspection $20.00 <br /> City of EverettOffcial 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 /> expenses,or causes of action that may arise because of installation and <br /> All ' 8 Zor maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Da e for and further agrees to remov same upon notice from the City and to <br /> :ce pu•lic prope d mage thereby. <br /> � <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) • ature of Applica 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 /> "Ftom cca?( <br />