8609 EVERGREEN WAY COMMUNITY HEALTH CENTER 2018-10-25

PUBLIC *ORKS PERMIT • Date: 8/18/2016 Public Works Permit#: PW1608-037 City of Everett Public Works Department 3200 Cedar Street Parent Permit#: B1603-009 n r. Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee$: $ 45.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: COMMUNITY HEALTH CENTER OF SN ARCHITECTURAL WERKS INC 5929 EVERGREEN WAY STE 200 EVERETT WA 98203 PHONE: PHONE: TAX PARCEL ID# 28041300102900 SITE ADDRESS: 8609 EVERGREEN WAY PW FOR CONCRETE STAIRS BEWTEEN PARKING LOTS PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction and with other inspection requests. 5. Install erosion control measures per City of Everett Standards for small parcels and remove upon completion of the project prior to final approval of the permit. [�I 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. 7. Protect all existing underground utilities during construction. 8. This permit for the pouring of concrete stairs and associated erosion/sedimentation O control measures only. Stair design and required handrails must be per Building Code. Public Works Permit Fee Breakdown: n c� n Misc. Minor Permits (Conc. Stairs).......$25.00sj e_: ! DD O PW Site Inspection...............................$20.00 � AU a 191 22; 5 CITY OF E` ERETT � Permit Services ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to pproved fornstru tion D to remove same upon notice from the City and to replace public property 0 _ I damaged thereby. AL INSPECTI N Date � Approved as Cons ructed Sign ure of-Applicant Date 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 CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. we_