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PUBLIC JORKS PERMIT Date Applied: 3/2/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1803-005 <br /> 3200 Cedar Street Parent Permit#: C1802-009 <br /> Everett,WA 98201 Planning Reference#: NCB15-020 <br /> ° (425)257-8810 Public Works Fee: $85.00 <br /> 02 APR 4u18. <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MARTINEZ JOSE OLVIDIO TURCIOS YEN DESIGN <br /> 1217 LOMBARD AVE 1622 NE 179TH ST <br /> EVERETT, WA, 98201 SHORELINE, WA, 98155 <br /> PHONE: 4253442264 PHONE: 2064321111 <br /> TAX PARCEL ID#: 00397223900800 SITE ADDRESS: 1217 LOMBARD AVE <br /> DESCRIPTION: PAVING FOR NEW COVERED PATIO <br /> PATIO PAVING IS APPROXIMATELY 924SF. <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 3/2/2018. Approved <br /> 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. An inspection is required to review the formwork prior to pouring concrete. Schedule an inspection with the PW inspector <br /> before and after installing the patio. <br /> 10. This permit must be finaled in order to close out this permit. Call the inspection line to request a Final for this permit <br /> when all items in the scope of this permit have been completed. <br /> Public Works Permit Fee Breakdown: <br /> Paving (924sf covered patio) $45.00 1@&51q50 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> APR 022018 . <br /> CITy QF <br /> Permit LY.JRETT <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> 41m. ‹ .,11/,, The undersigned owner/applicant hereby agrees to hold and save <br /> 3/21/8` harmless the City of Everett from any and all claims for damages,costs, <br /> 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. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) S'•- .ture 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 /> F/f.E <br />