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PUBLIC WORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 211 Floor <br />EV E R E T T <br />Everett, WA 98201 <br />everettwa.gov/permits <br />WASHINGTON <br />PermitServices(@everettwa.eov <br />OWNER NAME AND ADDRESS: <br />LYMAN ANDREW R & COOK KATHERINE A <br />1403 ROCKEFELLER AVE <br />EVERETT, WA 98201-1633 <br />PHONE: <br />Date Applied: 9/8/2023 <br />Public Works Permit #: PW2309-008 <br />Associated Bldg Permit #: <br />Planning Reference #: <br />Public Works Fee: $0 <br />Schedule Inspections at: onlinepermits.everettwa.gov <br />APPLICANT NAME AND ADDRESS: <br />GOLESH ARCHITECTURE <br />PHONE: 2067513969 <br />SITE ADDRESS: 1403 ROCKEFELLER AVE TAX PARCEL ID #: 29051700301600 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: SITE WORK FOR SFR ADDITION/DRIVEWAY <br />NOTES: <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at https://onIinepermits.everettwa.gov. Available inspection dates are shown in the dropdown <br />menu. <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. <br />PERMIT FEE BREAKDOWN: <br />Erosion Control$50.00 <br />Paving 986 SF)$45.00 <br />PW Plan Review$20.00 <br />PW Site Inspection$20.00 <br />Stormwater System Development Fee (986 SF)$264.05 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and <br />all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other <br />right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged <br />thereby. <br />VALIDITY/EXPIRATION: <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. <br />This permit may be canceled by the city upon any stoppage of work on this project over 180-day duration. Each inspection extends the expiration <br />date 180 days to keep the permit open while work is active. <br />Page 1 of 1 <br />APPLICANT/JOB SITE COPY __ADDRESS FILE __TREASURER <br />