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PUBLICIORKS PERMIT =ate Applied: 11/1/2017 <br /> City of Everett Public Works Department <br /> Public Works Permit#: PW1711-003 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $160 <br /> 10 2 MAR 2018 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> 3317 RUCKER AVE LLC [AppName] <br /> 16511 41ST PL W [AppAdd] <br /> LYNNWOOD, WA, 98037 [AppCi], [AppSt], [AppZip] <br /> PHONE: 2062883701 PHONE: [AppPhone] <br /> TAX PARCEL ID#: 00436978900800 SITE ADDRESS: 3317 RUCKER AVE A,B,C,D <br /> DESCRIPTION: SITE WORK DEMO HOUSE/REPLACE WITH 2 DUPLEXES <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. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> other inspection requests. <br /> 5. Install erosion control measures per City of Everett Standards for small parcels and remove upon completion of the <br /> project prior to final approval of the permit. <br /> 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. Repair or replace any <br /> broken or damaged sidewalk at the direction of the Public Works Inspector. <br /> 7. Protect all existing underground utilities during construction. <br /> 8. Install approved backwater valve in the building sanitary sewer system if necessary to comply with UPC 710.1. <br /> 9. Side sewer service shall conform to standard plans 601, 602 &604. <br /> 10. A Landscaping Inspection is required prior to final permit approval by the Public Works Inspector. Please contact the <br /> Planning Department to schedule your landscaping inspection as noted on the approved plans. <br /> Public Works Permit Fee Breakdown: eaRZCG <br /> Erosion Control $50.00 <br /> Paving (Parking and Walkways) $45.00 <br /> Misc. Minor Permits (Drainage Work) $25.00 MAR 0 2 2018 <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..�, 3/1/18 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) 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 /> —' t— <br />