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'UBLIA110RKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2"d Floor <br />Everett, WA 98201 <br />(425) 257-8810 <br />• Date Applied: 4/5/2019 <br />Public Works Permit #: PW1904-008 <br />Associated Bldg Permit #: B1903-001 <br />Planning Reference #: <br />Public Works Fee: $229.38 <br />1 0 SEP 2019 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />CHILDSTRIVE <br />KNODELL SALLY, ENVIROMENTAL WORKS <br />14 E CASINO RD, BLDG C <br />EVERETT, WA, 98208-2628 <br />PHONE: <br />PHONE: 2067871373 <br />TAX PARCEL ID #: 28041300105301 <br />SITE ADDRESS: 14 E CASINO RD <br />DESCRIPTION: SITE IMPROVEMENTS IN COURTYARD AREA <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 04/05/2019. <br />Approved plans 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 <br />formally request all required inspections. Flyers are provided at permit issuance with instructions on how to request an <br />inspection online. <br />6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon <br />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. Request a final inspection <br />online by selecting PW 22-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items <br />have been completed. <br />U <br />\: / <br />Public Works Permit Fee Breakdown: <br />Paving(480SF)... .......................................... $45.00 <br />SEP 10 2019 <br />Misc. Minor Permits (Drainage Work) ............ $25.00 <br />PW Plan Review............................................$20.00 <br />PW Site Inspection........................................$20.00 CITY OF EVERETT <br />Stormwater System Development Fee ......... $119.38 Permit Services <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 />S 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 Construction (Public Works) ate for and further agrees to remove same upon notice from the City and to <br />replace public property damaged thereby. <br />9f)0Y/ <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) IV99ure 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 180-DAY DURATION. <br />Fic.E COe: <br />