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#1141:6 PUBLIORKS PERMITate Applied: 12/13/2018 <br /> City of Everett Permit Services <br /> Public v i ks Permit#: PW1812-029 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: B1808-037 <br /> Everett,WA 98201 Planning Reference#: <br /> -4444 tg.7 <br /> (425) 257-8810 Public Works Fee: $110.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND Ali& LU <br /> NATIONAL RETAIL PROPERTIES LP KIMURA HOWARD <br /> 1328 DUBLIN RD STE 300 <br /> COLUMBUS, OH, 43215 , , <br /> PHONE: PHONE: 4252711875 <br /> TAX PARCEL ID#: 00393700200802 SITE ADDRESS: 7514 EVERGREEN WAY <br /> DESCRIPTION: STIPING, CHANNELIZATION AND REPLACED HARD SURFACE <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 12/13/2018. <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 for a <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requested. See the <br /> attached handout for phone number and online instructions to Request an Inspection. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/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. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or <br /> easements and the improvements located therein. <br /> 10. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Call the inspection line to <br /> request a Final for this permit when all items have been completed. �( <br /> Public Works Permit Fee Breakdown: V <br /> Paving (1,626SF) $45.00 <br /> Misc. Minor Permits (striping/channelization) $25.00 M44) <br /> PW Plan Review $20.00 Cf� Q� <br /> PW Site Inspection $20.00 ® ®l <br /> PP - <br /> et <br /> �+� <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 /> expenses,or causes of action that may arise because of installation and <br /> i2 13/ars+ 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 /> rept-_ public property •.maged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) ''gnature 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 /> 'Ft Lr� <br />