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PUBLICVORKS PERMIT 3/11/2022 <br /> City of Everett Permit Services Public•DateAPPlied: <br /> rks Permit#: PW2203-011 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: B2201-044 <br /> EVERETTEverett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $132.67 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> AYNALEM HAILEYESUS E/YIRBA MULATU/BEYENE ERMIAS HAILU <br /> 325 109TH PL SE <br /> EVERETT,WA,98208 <br /> PHONE: PHONE:2067751471 <br /> TAX PARCEL ID#:00761600000300 SITE ADDRESS:325 109TH PL SE <br /> DESCRIPTION:SITEWORK FOR ADULT FAMILY HOME t vl ,j `cvl p b d&-& D 2 J o 1121 Zb • <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 Specifications <br /> 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.Approved plans must remain on job-site at <br /> 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 request all <br /> 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 per the direction of the PW Inspector or the approved <br /> SWPPP/TESC Plan. Remove 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. Any damage to City improvements(sidewalk,curb, roadway,etc.)shall be replaced per City Standards and/or as directed by the City PW <br /> Inspector. <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on- <br /> 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 /> 11.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 have been <br /> completed. <br /> 1210 <br /> Public Works Permit Fee Breakdown: (� V <br /> Paving(178 SQ FT) $45.00 „�\,J U <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> Stormwater System Development Fee $47.67 MAR 3 0 2022 <br /> CITY OF <br /> Permit evERETT <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 /> n may arise because of installation and maintenance of the <br /> 7aopteyetqleitmao 03/11/2022 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 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.V <br /> _APPLICANT/JOB SITE COPY TREASURER ✓ADDRESS FILE <br />