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z <br />EVERETT <br />WASHINGTON <br />PUBLUOVORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 216 Floor <br />Everett, WA 98201 <br />425-257-8810 <br />Date Applied: 11/19/2020 <br />Public orks Permit #: PW2011-037 <br />Associated Bldg Permit #: B2006-035 <br />Planning Reference #: REV120-027 <br />Public Works Fee: $819.00 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />AMA VENTURES LLC <br />PAVEL ANDREYANOV <br />PO BOX 1395 <br />PO BOX 271 <br />LAKE STEVENS, WA, 98258 Z� D <br />E STEVENS, WA, 98258 <br />PHONE: 4255082465 <br />NE- 4255082465 <br />APR 1 202� <br />TAX PARCEL ID #: 00552400900200 <br />SITE ADDRESS: 10104 DAKOTA WAY <br />DESCRIPTION: SITE WORK FOR NEW SFR CITY OF EVEtETT <br />Permit Services <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. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 01/19/2021. Approved plans <br />must remain on job -site at all times. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at pw.everettwa.gov to formally <br />request all required inspections. A handout is provided at permit issuance with instructions on how to request an inspection online. <br />6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector. Remove <br />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 managed <br />on -site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the <br />improvements located therein. <br />10. Sewer jurisdiction is Mukilteo Water and Wastewate District (MWWD). Obtain side sewer permit from MWWD. <br />11. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by <br />selecting PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items <br />have been completed. <br />Public Works Permit Fee Breakdown: <br />Erosion Control.................................................................$50.00 <br />Paving(480SF)..............................................................$45.00 n\l <br />!? <br />Misc. Minor Permits (Drainage Work) .........................$25.00 <br />PW Plan Review <br />...........................................................$20.00 AP)?,. <br />PW <br />te <br />S orml waterpSystem Development Fee (1613SF)........ $659.00 CIS► <br />I T OF CON 'I <br />City of Everett Official Use Only ACKNCAV_ <br />By purchasing this permi�°�lpr�e4 wor th owner/applicant <br />Xr <br />Z <br />hereby agrees to hold and save Everett from any <br />and all claims for damages, costs, expeniftor ca es of action that <br />may arise because of installation and maintenance of the <br />?me AwliPGZQ" 111912021 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 <br />Approved for Construction, Public Works Dept. Date public property damaged thereby. <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 />