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PUBLIORKS PERMIT DateApplied: 4/119042/2010319 <br /> "op <br /> City of Everett Permit Services Public Works Permit#: PW <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> 41411 wil ih .a.1 <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $81.41 <br /> 1 2 APR 2019 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CHALLEA SAMUAL CHALLEA SAMUAL <br /> 6627 200TH ST SW#4 6627 200TH ST SW#4 <br /> LYNNWOOD,WA, 98036 LYNNWOOD, WA, 98036 <br /> PHONE: 2063870888 PHONE: 2063870888 <br /> TAX PARCEL ID#: 00402900001700 SITE ADDRESS: 1035 WOODLAWN AVE <br /> DESCRIPTION: PAVER WALKWAY IN ROW/ALLEY <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 04/12/2019. <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 /> 11. All work constructed within the public right-of-way,accuse[omoveelocat,ed�,at the owner' expense if the City ever <br /> requires use of the right-of-way for municipal purpose f r� '�°"` <br /> Public Works Permit Fee Breakdown: . APPROVAL IS <br /> Paving (66SF) $45.00 <br /> PW Site Inspection $20.00 JUN 2 4 2022 I APR 1 2 2019 0 <br /> Stormwater System Development Fee $16.41 ¢ CjT E. <br /> ARCH,vIE -flf Permit 'ERETT <br /> City of Everett OfciaiUse Only ACKNOWa.DGEMENT OF CONDITIdIVges <br /> 1 r,. UncIe_ s:®° rJ:a'®i, ant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> Z �� expenses,or causes of action that may arise because of installation and <br /> / <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date ..... oL.004.104.0/(—... a/1.04 <br /> Approved as Constructed (PW Inspector) Signature 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 /> FtC..C. CC%Pe <br />