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PUBLIC VORKS PERMIT Date Applied: 6/20/2019 <br /> City of Everett Permit Services Public ,..,orks Permit#: PW1906-057 <br /> EVERETT 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: C1810-003 <br /> Everett, WA 98201 Planning Reference if: <br /> 425-257-8810 Public Works Fee: $85.00 <br /> WASHINGTON <br /> 23 JUL 2019 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WILKINSON MICHAEL R VITAL LAUREN <br /> 1511 OAKES AVE <br /> EVERETT,WA, 98201-2049 , , <br /> PHONE: PHONE:4252586400 <br /> TAX PARCEL ID#:00475431200400 SITE ADDRESS: 1511 OAKES AVE <br /> DESCRIPTION: REMODEL/ADDITION OF EXTG SFR <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. Erosion control measures shall be installed. <br /> 5. No dirt,etc.to be tracked onto roadway. <br /> 6. Stormwater from new impervious surfaces shall not be discharged,through downspouts or other direct pipe connections, into a <br /> combined sewer, including a lateral line or side sewer connected to the City's combined sewer system as per EMC Chapter 14.08.180 <br /> H. <br /> 7. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be managed on-site in <br /> 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 /> Public Works Permit Fee Breakdown: <br /> Paving(63SF) $45.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 JUL 2 3 2019 <br /> CITY OF EVERETT <br /> Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> I the City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of-way use here to applied for and further <br /> A.• ••-• for • ruC on cot <br /> IC 06 25 2019 rks) Date agrees to remove same upon notice from the City and to replace public <br /> property damaged thereby. <br /> FINAL INSPECTION Date <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 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. <br /> rl�� <br />