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PUBLICIORKS PERMIT • Date: 12/22/2015 <br /> Public Works Permit#: PW1512-021 <br /> City of Everett Public Works Department <br /> _�� 3200 Cedar Street Parent Permit#: C1512-006 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 2,485.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> GORDON HOMES LLC GORDON HOMES <br /> 9420 31ST AVE SE 9420 31ST AVE SE <br /> EVERETT WA 98208 EVERETT WA 98208 <br /> PHONE: 4258761130 PHONE: 4253384596 <br /> TAX PARCEL ID# 00563245401700 SITE ADDRESS: 2102 SUMMIT AVE A& B <br /> PUBLIC WORKS FOR NEW DUPLEX+TRAFFIC MITIGATION <br /> ST NICHOLAS ADD BLK 454 D-00 - <br /> LOTS 17-18-19 & FRAC OF 20 <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. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 .1;*; —{i:;- <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Rublic,Works, 1-.-.1.--1.--1--..-1--- 1--!--- ;; p <br /> Department dated 1/11/2016 and Stormwater Memorandurn,approvocITon,1.16/2:01.4..co: :OD 9-„-2:, R: , W <br /> 5. Contact the City of Everett Public Works Inspector Randy Allan a1;42 39;,�460F rior�=:i r;1 ;_;c:3 Vit '-- <br /> ; ' <br /> to starting construction and with other inspection requests.'=See a0 6511.6d-to request`an =1 1 <br /> inspection. E2, MSI <br /> 6. Any damage to the City Sidewalk or other improvements sfrll be replaced at the <br /> direction of the City Public Works Inspector. 1-'=i' ' <br /> 7. Install erosion control measures per City of Everett Standards for small parcels. r <br /> 8. Remove erosion control measures upon completion of thei:pl-oject prior to final <br /> approval of the permit. "L'_:_; ' ` <br /> 9. Keep City streets clean at all times. No dirt, mud, rocks, rA'e,rgip` .:dt ;t{' Gliet c; ,:,:, .'r: r:;I::3 rs,; 7. �J <br /> �. ••V> ,...:>ur,r•;..:7�:- :•J _> r-a c-o r I.--- <br /> roadway. F-1 <br /> >o c> o e i•..:0 <br /> 2 —ro Cy o 5 E>1••.:).._>4="n^>CEJ —r7 7,1--) 1=. .-- <br /> C..rJ�h�a->.�> �,=-�1^` _'>C.._ :>�.._>e_->c=�r,>�'�,�_> rt r--> <br /> Public Works Permit Fee Breakdown: �; <br /> Paving (1400SF) $45.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> Traffic Mitigation $2,400.00 Al <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> �r� �,� City of Everett from any and all claims for damages,costs,expenses,or <br /> `/ � J <br /> rl `JI 1 Ia Jdi I`Ii 2 OM causes of action that may arise because of installation and maintenance of the <br /> improvement o other right-of ay use hereto applied for and further agrees to <br /> Approved for Co•struction Date remove same pon notice o the City and to replace public property <br /> \__ ,am%\ <br /> ^ r _ 1 O damaged th eby. <br /> L INSPECTIO Date ) ; N, <br /> Approved as Constructed Signa ure 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 <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />