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SI RK PERMIT •DateApplied: 10/25/2018 <br /> PUBLIC O S <br /> City of Everett Permit Services Public Works Permit#: PW1810-057 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $65.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND A?DRET 20w <br /> PEREDEREYEV ANDEY PEREDEREYEV ANDEY <br /> 10633 HOLLY DRIVE 10633 HOLLY DRIVE <br /> EVERETT, WA, 98204 EVERETT, WA, 98204 <br /> PHONE: 2062355862 PHONE: 2062355862 <br /> TAX PARCEL ID#: 00552300401302 SITE ADDRESS: 10633 HOLLY DR <br /> DESCRIPTION: GRAVEL PARKING AREA <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 10/25/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction for a <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requestedeett1 <br /> attached handout for phone number and online instructions to Request an Inspection. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved SW EPPwp. R move 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. r-" <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 surfa'ceseilbe <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-wayar /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. CM the inspection lir.to <br /> request a Final for this permit when all items have been completed. L'0 is <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the owner ` se if the City ever <br /> requires use of the right-of-way for municipal purposes. „ <br /> 12. Additional permits are required for all work not covered under this permit. _n <br /> L'i <br /> Public Works Permit Fee Breakdown: <br /> Paving (1500SF) $45.00 <br /> PW Site Inspection $20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> ZO l expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> pproved for Construction (Public Works) Dat for and further agrees to remove same upon notice from the City and to <br /> replac;. public property damaged thereby. <br /> Date /2Tf <br /> FINAL INSPECTION <br /> Approved as Constructed (PW Inspector) Si. re of Applicant ate <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERM . 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 9/0-DDAY DURATION. <br /> so5-.oa <br /> -Fr t_.E. <br />