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im PUBLICI IVORKS PERMIT *Date Applied: 2/3/2020 <br /> City of Everett Permit Services Public Works Permit#: PW2002-003 <br /> EVERETT 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $45.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: �o <br /> 20 <br /> NONOV NIKOLAY KONONOV NIKOLAY <br /> 06 1ST AVE SE 8 19806 1ST AVE SE <br /> VERETT,WA,98208 EVERETT,WA,98208 03 FEB <br /> PHONE:4253463573 PHONE:4253463573 '',7 1"`1 ';,.-,. <br /> TAX PARCEL ID#:00480200702803 SITE ADDRESS:9806 1ST AV E 't AL <br /> 4 APPROVAL <br /> isr= <br /> DESCRIPTION:INSTALL DRAINAGE PIPE IN AN OPEN DITCH AND COVER WITH DIRT. ,. JAN 28 2022 <br /> CONNECT TO EXISTING 8 CULVERT ON EACH SIDE. ;., <br /> ,)r <br /> ARCHIVE <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT <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 2/3/2020.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. Flyers are 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.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 24-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br /> ['II ntrl <br /> Public Works Permit Fee Breakdown: '=• "4 <br /> Misc. Minor Permits(Drainage Work) $25.00 r='r..mI ,::a: ; ;= <br /> PW Site Inspection $20.00 :,��, F"'�' ` <br /> l.fj i"'I]7 •.•..� <br /> r••:7 <br /> x rw' <br /> t..a 7 <br /> 1.I ' <br /> r::7 <br /> ,. a <br /> FS <br /> City of Everett Official Use Only ACKNOWLEDGEMEI,T14 or lTIONs '.. <br /> The undersigned owner/applicant here` eel;ib hold and save,harmless <br /> the City of Everett from any and all ctai smiiic:;i ages,costs,,,;;;e7p'enses,or <br /> 3 zoZo because. r... ._ <br /> causes of action that may arise of installation ani9-.l�a€i�`enance of <br /> Approved for Construction (Public Works) Date the improvem nt or other right-of-way use here to appliead•,,fi rand further <br /> agrees to re ove same upon notice from the City and to replace public <br /> propert da aged ther-.y. <br /> FINAL INSPECTION Date $ AO/A f*4` 2 , <br /> e <br /> Approved as Constructed(PW Inspector) Signat re of Applicant D <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 /> rite' <br />