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'UBLIC OORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2"d Floor <br />Everett, WA 98201 <br />(425) 257-8810 <br />tte Applied: 6/1/2018 <br />Public Works Permit #: PW1806-001 <br />Associated Bldg Permit #: Cl%oq-0054 3180-033 <br />Planning Reference #: <br />Public Works Fee: $85.00 <br />13 AUG 2018 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />GILMORE EDWARD J & D'ANNE T <br />HOLVERSTOTT BRETT <br />720 EDWARDS AVE <br />EVERETT, WA, 98201-4644 <br />PHONE: <br />PHONE: 2062518947 <br />TAX PARCEL ID #: 00438529402600 <br />SITE ADDRESS: 1412 HOYT AVE <br />DESCRIPTION: SITE WORK FOR NEW MODULAR HOME AND DETACHED GARAGE <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 6/1/2018. Approved <br />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 for a <br />consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. <br />6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector. <br />Remove upon 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: <br />Paving.......................................................$45.00 <br />PW Plan Review.......................................$20.00 <br />PW Site Inspection....................................$20.00 <br />AUG 3 2018 <br />CITYrMit <br />0tyofEverett Ofcial Use Only ACKNOWLEDG ME T OF NS <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 />G C� <br />M <br />maintenance of the improvement or other right-of-way use here to applied <br />Approved for Construction (Public Works) for and further agrees to remove same upon notice from the City and to <br />replace p 1' propeZdad thereby. <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) S ture o pplicant 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 />r1 C,E <br />