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PUBLIC VORKS PERMIT •Date Applied: 12/23/2020 <br /> - City of Everett Permit Services Public orks Permit#: PW2012-042 <br /> 3200 Cedar Street, 2"a Floor Associated Bldg Permit#: B2012-019 <br /> Everett, WA 98201 Planning Reference#: <br /> 'I'I ri iF 425-257-8810 Public Works Fee: $1205.10 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> OLSEN SHANNON P&LORENA M <br /> 1707 RUCKER AVE <br /> EVERETT,WA,98201 <br /> PHONE:4252573287 PHONE: <br /> TAX PARCEL ID#:00438034500300 SITE ADDRESS: 1707 Rucker Ave <br /> DESCRIPTION:New Garage for SFR <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 1/12/2021.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 approved SWPPP/Plan. Remove upon completion of <br /> 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 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items <br /> have been completed. <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires <br /> use of the right-of-way for municipal purposes. - ea <br /> (JJ <br /> --";\ <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits $25.00 MAR 18 2021 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 •J <br /> Stormwater System Development Fee $124.54 CITY OF EVERETT <br /> Combined Sewer Fee $1015.56 Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to hold and save harmless the City of Everett from any <br /> and all claims for damages,costs,expenses,or causes of action that <br /> �/ may arise because of installation and maintenance of the <br /> Adirew Y!"a 3116121 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 MAYBE 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 />