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'UBLIC%ORKS PERMIT *Date Applied: 8/23/2018 <br />City of Everett Permit Services Public Works Permit #: PW1808-057 <br />3200 Cedar Street, 2nd Floor Associated Bldg Permit #: C1806-007 <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 Public Works Fee: $85.00 <br />04 SEP ?018 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />JWHEELS AMERICA LLC <br />PALMAFFY DANTE <br />1425 BROADWAY 20 6045 <br />SEATTLE, WA, 98122 <br />PHONE: <br />PHONE: 4253452530 <br />TAX PARCEL ID #: 00411301202500 <br />SITE ADDRESS: 4016 HOYT AVE <br />DESCRIPTION: New Paver Driveway <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 XX/XX/2018. <br />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 for a <br />consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requestec eej g <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 an("ppqw@d4AfflFV amove upon <br />completion of the project prior to final approval of the permit. 7" 1 -7.1 4; G) ' <br />7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked ontof6�w .23 <br />-•. <br />8. Protect all existing underground utilities during construction.; <br />9. It is the applicant/owner's responsibility to ensure that stormwater runoff from newkwplaced impervious surVicesbpiJL-be <br />managed on -site in a manner that does not adversely affect neighboring properties, ihtluding the City's right-of-wad-5rfd/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 (�1gcupancy. Call the inspection lir e;to <br />request a Final for this permit when all items have been completed. r` �10 M <br />fit . <br />11. All work constructed within the public right-of-way must be removed or relocates4;se if the City ever <br />requires use of the right-of-way for municipal purposes.y <br />Public Works Permit Fee Breakdown: ,_ r8 <br />Paving(800SF).......................................$45.00 <br />PW Plan Review.......................................$20.00 <br />PW Site Inspection....................................$20.00 <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 />maintenance of the improvement or other right-of-way use here to applied <br />Approved for Onstruction ( ublic Works) Date for and further agrees to remove same upon notice from the City and to <br />replace public prope ged thereby. <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) Signat 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 />�iLc CdP-e <br />