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PUBLIORKS PERMIT Date.Applied: 12/12/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1812-028 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: C1810-010 <br /> 1041111/41144 <br /> Everett,WA 98201 Planning Reference#: SUB14-002 <br /> (425)257-8810 Public Works Fee: $65.00 <br /> 0 4 JAN 2019 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> POLYGON WLH LLC PANI ALAN <br /> 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE, WA, 98005 <br /> PHONE: 4255867700 PHONE: 4255867700 <br /> TAX PARCEL ID#: 29053200102300 SITE ADDRESS: 4523 31ST AVE SE <br /> DESCRIPTION: NEW SFR-LOT 40 <br /> LOT 40 OF THE PLAT OF OVERLOOK AT RIVERFRONT <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett`Design and Construction Standards <br /> and Specifications for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 5. All inspections (including job start consultation prior to starting construction) must be formally requested through the <br /> Online Permitting Portal at https://pw.everettwa.gov. Contact the City of Everett Public Works Inspector Randy Allen at 425- <br /> 339-7403 with any questions. <br /> 6. Install any erosion control measures as determined by the Public Works Inspector per City of Everett Standards, such as <br /> silt fence, straw bales, swales, or erosion blankets. <br /> 7. Connect side sewer per City Standard#'s 601 through 604. <br /> 8. Connect rooftop downspouts to the drainage system provided for this lot. <br /> 9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for pedestrian <br /> travel. jq Ad- <br /> 10. Public Works Construction shall be done per approved plan dated 12/'x$/2018. (Approved Site Plan attached) <br /> 11. Construct foundation only until Plat is final and recorded. <br /> Public Works Permit Fee Breakdown: — � <br /> PW Plan Review $20.00 Ul <br /> PW Site Inspection $20.00 <br /> Driveway $25.00 JAN 4 2019 <br /> CITY OF EVERETT <br /> Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> I 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 /> �' % ! / /8' expenses,or causes of action that may arise because of installation and <br /> �G .''IL ( ` 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. <br /> FINAL INSPECTION Date 4IP IV1 <br /> Approved as Constructed (PW Inspector) Signature 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 />