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PUBLICili/NORKS PERMIT •Date Applied: 7/16/2019 <br /> City of Everett Permit Services Public Works Permit#: PW1907-026 <br /> EVERETT 3200 Cedar Street, 2nd Floor Everett, WA 98201 Associated Bldg Permit#: <br /> Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $65.00 <br /> J 6 JUL 2019 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BRODERSEN RJOANN (RJ) BRODERSEN RJOANN(RJ) <br /> 2532 BAKER AVE 2532 BAKER AVE <br /> EVERETT,WA,98201 EVERETT,WA,98201 <br /> PHONE:2066694384 PHONE:2066694384 <br /> TAX PARCEL ID#:00437857001701 SITE ADDRESS:2532 BAKER AVE <br /> DESCRIPTION:PAVE 650SF OF CONCRETE IN RIGHT-OF-WAY AND YARD <br /> PERMIT ASSOCIATED WITH CODE CASE CE19-0596. <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 and <br /> 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 7/16/2019.Approved plans <br /> must remain on job-site at all times. <br /> 5. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally <br /> request all required inspections. Flyers are provided at permit issuance with instructions on how to request an inspection online. <br /> 6. Install and maintain erosion control measures per City of Everett Standards per the direction of the City Inspector. R mov ii• n <br /> completion of the project prior to final approval of the permit. y -d <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks,or debris to be tracked onto roadway. CD= <br /> 8. Protect all existing underground utilities during construction. nn ~� ;• <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces LI be managed <br /> on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or ease enttwAthe <br /> improvements located therein. 1.1 Y <br /> 10.This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection onl"o by <br /> selecting PW 24-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items have been coniJeted. <br /> I . <br /> Public Works Permit Fee Breakdown: , r <br /> Paving(650SF) $45.00 "' <br /> PW Site Inspection $20.00 0 N GY1 <br /> —H.c.., <br /> City of Everett trial Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> !0 causes of action that may arise because of installation and maintenance of <br /> pproved for Construction (Public Works) Date the improvement or other right-of-way use here to applied for and further <br /> agrees to remove same upon notice from the City and to replace public <br /> property damaged thereby.FINAL INSPECTION Date 6t r `y <br /> /A-17 <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 COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br /> f7WON <br />