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elehool <br /> PUBLIC=wORKS PERMIT ate Applied: 11/29/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1811-057 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: BW1810-006 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $110.00 <br /> 1 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESSs-:U is <br /> TODD CELIA R MARIUSZ RYNKIEWICS <br /> 507 74TH ST SW <br /> EVERETT, WA, 98203 <br /> PHONE: 4253534170 PHONE: 2064745909 <br /> TAX PARCEL ID#: 00708000007800 SITE ADDRESS: 507 74TH ST SW <br /> DESCRIPTION: NEW WOOD DECK AND NEW COVER OVER EXISTING PATIO <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 11/29/2018. <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 constructigq for <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requested"eee4fie <br /> attached handout for phone number and online instructions to Request an Inspections <br /> 6. Install and maintain erosion control measures per City of Everett Standardsa�ati'dAppr: vf . Rnove upon <br /> completion of the project prior to final approval of the permit. r-r, a ''"~t ' w' 17.75 <br /> J"=, ••1-Y'} ice;: IS} <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked`ohfo roadway. ; r.; <br /> 8. Protect all existing underground utilities during construction. cz.) <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impious surfaces v1iL1!be <br /> managed on-site in a manner that does not adversely affect neighboring propert s, including the City's right-of-way ar lior <br /> easements and the improvements located therein. <br /> 10. This permit must be finaled in order to close out this permit/. Call the inspectian line to request a Final for this perm t; <br /> when all items have been completed. m i <br /> ,_r..,w #: tif'r•k!!{'i:+''CX7 •t F:F{.-...f•'..J <br /> ,;>3 C••._}..E.^w 1--�.fir a('•,J CY.7 <br /> Public Works Permit Fee Breakdown: '? ; ;:.; Ni <br /> Wood Deck/Hard Surface (350SF) $45.00 —�, <br /> fir'-} <br /> Misc. Minor Permits (Drainage Work) $25.00 <br /> 1-1--- <br /> PW <br /> —rPW 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 /> �Q <br /> ,(L____400/€1 expenses,or causes of action that may arise because of installation and <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. l J <br /> FINAL INSPECTION Date -a/ ' 1 i 7 <br /> Approved as Constructed (PW Inspector) f Applicant 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 /> �i t.€€ Gb�'Y <br />