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01.111PA4600,e-A <br /> PUBLICORKS PERMIT <br /> City 5/25/2018 <br /> 0?I verett Permit Services Public orks Permit#: P/25/20 049 <br /> nd Associated Bldg Permit#: B1803-040 <br /> 3200 Cedar Street, 2 Floor <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $985.27 <br /> a .0,4 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME-AND ADDRESS: <br /> VIEW RIDGE COMMUNITY CHURCH PASTOR ET <br /> 4800 DOGWOOD AVE <br /> EVERETT,WA, 98203 , <br /> PHONE: PHONE: 4253443252 <br /> TAX PARCEL ID#: 00449500009300 SITE ADDRESS: 4800 DOGWOOD } — <br /> DESCRIPTION: SITE WORK FOR VIEW RIDGE COMMUNITY CHURCH <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, SWPPP, and drainage report approved by the City of Everett Public Works <br /> Department dated 10/15//2018. Approved 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 to set up a <br /> pre-construction consultation. All inspections must be formally requested. See the attached handout for phone number and <br /> online instructions to Request an Inspection. <br /> 6. City of Everett Water Department crews shall make all connections to City water main at owner/contractor's expense. <br /> This work to be under a separate Utility Permit to be purchased at the Permit Services Counter per a cost estimate by the <br /> Water Department. Work shall be scheduled 3-4 weeks in advance. <br /> 7. As-builts of storm, sanitary sewer, and water systems will be required to be submitted to the PW Inspector per City <br /> Design and Construction Standards and Specifications for Development prior to final approval/close out of the permit. <br /> 8. A Landscape Inspection is required by the Planning Department prior to final by the Public Works Inspector. Contact the <br /> Planning Department at 425-257-8731 to schedule the inspection. ~^. iril;P‘Oction <br /> 9. This permit must be finaled in order to closeout this permit/grant a Certificate of c 1 line to <br /> request a Final for this permit when all items have been completed. S <br /> JAB 23 �`��n <br /> Public Works Permit Fee Breakdown: <br /> Paving1530SF $45.00 CITY OF EVERETT <br /> ( , ) Permit Services <br /> Erosion Control $200.00 <br /> Grade/Fill/Excavate(400CY) $110.00 <br /> PW Plan Review $210.09 <br /> PW Site Inspection $420.18 <br /> City of Ever 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 /> • / I 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 /> p d for Constru (Publi 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 l ` / <br /> Approved as Constructed (PW Inspector) ignature 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 />