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PUBLIC •ORKS PERMIT "late Applied: 11/22/2019 <br /> City of Everett Permit Services Public Works Permit#: PW1911-040 <br /> EVERETT 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: C1909-010 <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $124.79 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WELSH HIUA KATHERINE/HARTTJUDITH DALY/ JUDITH HARTT <br /> 2408 RAVENNA ST 2408 RAVENNA ST <br /> EVERETT,WA,98203-4187 EVERETT,WA,98203-4187 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#:28050500104600 SITE ADDRESS:2408 RAVENNA ST <br /> DESCRIPTION: PAVED PARKING SPACE FOR ADU <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 11/22/2019.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 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 24-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items 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. <br /> 8 au <br /> Public Works Permit Fee Breakdown: <br /> Paving(160SF) $45.00 PW Plan Review $20.00 SEP 15 2021 <br /> PW Site Inspection $20.00 <br /> Stormwater System Development Fee....$39.79 CiT y Opj <br /> Permit @ 'ERETT <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF C0I71DrIll <br /> The undersigned owner/applicant hereby agre o hold and save harmless <br /> the City of Everett from any and all claims r damages,costs,expenses,or <br /> I I AZ I o1? causes of action that may arise becau of installation and maintenance of <br /> Approved for Construction (Public Works) Date the improvement or other right-of- ay use here to applied for and further <br /> agrees to remove same upon tice from the City and to replace public <br /> property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature o pplicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 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 TH XPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br />