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PUBLIC IIORKS PERMIT =ate Applied: 4/19/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1804-037 <br /> 3200 Cedar Street Parent Permit#: 81803-047 <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $115.00 <br /> 0 9 MAY ZULU <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EVERETT SCHOOL DIST 2 COLLINS J <br /> 4730 COLBY AVE <br /> EVERETT, WA, 98203 <br /> PHONE: PHONE: 4253854195 <br /> TAX PARCEL ID#: 00445400100902 SITE ADDRESS: 10901 27TH AVE SE pi <br /> DESCRIPTION: SITE WORK FOR NEW PORTABLE <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 4/19/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction to set up <br /> a pre-construction consultation. All inspections must be formally requested. See the attached handout for phone number <br /> and online instructions to Request an Inspection. <br /> 6. 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 /> Public Works Permit Fee Breakdown: <br /> Erosion Control $50.00 <br /> Misc. Minor Permits $25.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> ZS IQ <br /> MAY - 9 2018 <br /> 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 /> / harmless the City of Everett from any and all claims for damages,costs, <br /> OVOV`1 ,,7 wi frfQ o' exp es,or causes of action that may arise because of installation and <br /> —k/4/ m ' t nance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date fo a d further agrees to remove same upon notice from the City and to <br /> repl e public property damaged thereby. <br /> 1/9//6 <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signat re 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 CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br /> r�� <br />