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0 2 NOV 2011 <br /> PUBLIC SIORKS PERMIT =ate Applied: 9/28/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1709-051 <br /> 3200 Cedar Street Parent Permit#: B1702-047 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $135 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SIDHU SURINDER S & SUKHPAL VITAL LAUREN <br /> 2715 NW 166TH TERRACE <br /> BEAVERTON, OR, 97006 <br /> PHONE: PHONE: 4252586400 <br /> TAX PARCEL ID#: 00451401101100 SITE ADDRESS: 3623 HOYT AVE Unit 1,2,3 <br /> DESCRIPTION: SITE WORK FOR NEW 3-PLEX RESIDENTIAL STRUCTURE <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 09/29/2017. <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/Plans. 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 /> Public Works Permit Fee Breakdown: ;w,•? i' <br /> Paving (Parking Lot) $45.00 NOV - 2 2017Erosion Control $50.00 <br /> •• <br /> PW Plan Review $20.00 of TY t <br /> PW Site Inspection $20.00 ; Peri®�.EVERE <br /> r,,rces <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 /> 4 -_:;;;/ /ty‘f_sor„.4.._ <br /> 9f 7 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 fu •- .grees to remove same upon notice from the City and to <br /> replace p1 ii damaged thereby. <br /> 111 <br /> FINAL INSPECTION Date l<2M L <br /> Approved as Constructed (PW Inspector) Si'nature of 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 CITYUPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />