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EVERETT <br />WASHINGTON <br />PUBLIC FORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2"d Floor <br />Everett, WA 98201 <br />425-257-8810 <br />Sate Applied: <br />Public Works Permit #: <br />Associated Bldg Permit #: <br />Planning Reference #: <br />Public Works Fee: <br />11/24/2019 <br />PW1911-043 <br />C1910-011 <br />SUB 14-002 <br />$ 65.00 <br />A r� t hut /n`i16 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />POLYGON WLH LLC <br />[AppName] <br />11624 SE 5TH ST SUITE 100 <br />[AppAdd] <br />BELLEVUE, WA, 98005 <br />[AppCQ, [AppSt], [AppZip] <br />PHONE:4255867700 <br />1 PHONE: [APPPhonel <br />TAX PARCEL ID #: <br />SITE ADDRESS: 2914 47TH ST SE <br />DESCRIPTION: SITE WORK FOR NEW SFR- LOT 363 <br />PLAN #3580 A LOT 363 <br />LOT 63, DIVISION III OF OVERLOOK AT RIVERFRONT DEVELOPMENT <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. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at https:Hpw.everettwa.gov to <br />formally request all required inspections. A handout is provided at permit issuance with instructions on how to request an inspection <br />online. <br />6. Install any erosion control measures as determined by the Public Works Inspector, such as silt fence, straw bales, swales, or erosion <br />blankets. <br />7. Connect side sewer per City Standard #'s 601 through 604. <br />8. Connect rooftop downspouts to the drainage system provided for this lot. <br />9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for pedestrian travel. <br />10. Public Works Construction shall be done per approved plan dated 11/25/2019. (Copy attached) <br />11. Construct foundation only until Plat is final. <br />Public Works Permit Fee Breakdown: <br />PW Plan Review..............$20.00 <br />PW Site Inspection .......... $20.00 -3 'D <br />Driveway <br />JAN 16 2020 <br />CITY OF FVFRETT <br />Permit Services <br />City of Everett Official 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 />causes of action that may arise because of installation and maintenance of <br />Approved for Construction (Public Works) Date 11 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. <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) Signature of App 'c t ate <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 />