15 FERN RD 2017-10-30 - Laserfiche WebLink

'r � L Date: 5/ 016 PUBLIC WORKS PERMIT Public Works Permit#: PW1605-020 City of Everett Public Works Department 3200 Cedar Street Parent Permit#: C1605-015 Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee $: $ 2,510.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: HENDERSON PHILIP L & MARIANNE 15 FERN RD EVERETT WA 98203 PHONE: PHONE: TAX PARCEL ID# 28040100402900 SITE ADDRESS: 15 FERN RD PW FOR NEW DUPLEX SEC 01 TWP 28 RGE 04 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. Site Civil Work to be done per plans and drainage report approved by the City of Everett Public Works Department dated 6/27/2016. w 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with other inspection requests. [� 6. 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. 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto = roadway. J 8. Protect all existing underground utilities during construction.9. It is the applicant/owner's responsibility to ensure that stormwater runoff fromimpervious surfaces will be managed on-site in a manner that does not adverseneighboring properties, including the City's right-of-way and/or easements and t improvements located therein. Cso*` sQeO Public Works Permit Fee Breakdown: Paving.......................................................$45.00 O Misc. Minor Permits (Drainage Work).......$25.00 a PW Plan Review.......................................$20.00 PW Site Inspection....................................$20.00 Traffic Mitigation...................................$2,400.00 ACKNOWLEDGEMENT OF CONDITIONS q 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 J64 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 &+proved for nstruction Date remove same upon notice fr m the City and to replace public property ged ereby. � 1 FINAL INSPECTI N N Date —_3 Approved as Constructed ign ture of Applicanate WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS 0 E PERMIT IS ISSU AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPO ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.