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6 PUBLIC —ORKS PERMIT =ateApplied: 11/20/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1711-023 <br /> 3200 Cedar Street Parent Permit#: C1711-002 <br /> Everett,WA 98201 Planning Reference#: REVI17-037 <br /> (425) 257-8810 Public Works Fee: $65 <br /> 4 CI EL cur. <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JOHNSON LACIE T& BICKLEY NATHANIEL G LUIS SLATER SLATER DESIGN <br /> 1917 HIGHLAND AVE <br /> EVERETT, WA, <br /> PHONE: 4257377660 PHONE: 4258777377 <br /> TAX PARCEL ID#: 00563239800700 SITE ADDRESS: 1919 HIGHLAND AVE <br /> DESCRIPTION: NEW SFR(DADU) <br /> THIS PERMIT INCLUDES THE SITE WORK FOR THIS CONSTRUCTION. WATER, SEWER, DRAINAGE AND PARKING <br /> LOT ARE COVERED. <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 datedl 1/20/2017. <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, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved SWPP/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 impervious surfaces will be managed <br /> on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements <br /> and the improvements located therein. <br /> 10. The portion of the existing side-sewer under the proposed building must be upgraded to meet the uniform plumbing <br /> code or be rerouted around the new building. D ® Q --.1 <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits (Drainage Work) $25.00 DEC 1 i 2017 ----I <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 CITY OF EVERETT <br /> Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> / "'c' zfii9.0"2____ <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> `�Z� 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 /> App.tai for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public prep:. lam�,,ed thereby. <br /> FINAL INSPECTION Date __�i- 4 7 <br /> Approved as Constructed (PW Inspector) Signature of Applicant Da e <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 <br /> STOPPAGE� OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br /> -R/Le) <br />