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UBLIC&ORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2nd Floor <br />Everett, WA 98201 <br />(425) 257-8810 <br />0 Date Applied: 9/10/2018 <br />Public Works Permit #: PW1809-015 <br />Associated Bldg Permit #: <br />Planning Reference #: <br />Public Works Fee: <br />B 1809-002 <br />$85.00 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />SHARED CONSULTING LLC <br />AKASH MEHROTRA <br />11761 162ND AVE NE <br />11761 162ND AVE NE <br />REDMOND, WA, 98052 <br />REDMOND, WA, 98052 <br />PHONE: <br />PHONE: 4258023918 <br />TAX PARCEL ID #: 00545001801800 <br />SITE ADDRESS: 2002 MADISON AVE <br />DESCRIPTION: NEW PAVED ENTRANCE <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 09/19/2018. <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 />11. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever <br />requires use of the right-of-way for municipal purposes. <br />Public Works Permit Fee Breakdown: P Q <br />Paving(55SF)..........................................$45.00 D <br />PW Plan Review.......................................$20.00 NOV 2 8 2018 <br />PW Site Inspection....................................$20.00 <br />CITY OF EVERETT <br />Permit Serves <br />City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIO <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 />9 t 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 />repl public roperty d maged ther <br />\11� I i B <br />FINAL INSPECTION Date Ak� <br />Approved as Constructed (PW Inspector) Sig re of icant batd <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 />L IC Cxii Ffi e <br />