1123 RAINIER AVE 2018-02-22 - Laserfiche WebLink

Date: 1 V6(e PUBLIC WORKS PERMIT Public Works Permit#: PW1612-010 City of Everett Public Works Department 3200 Cedar Street Parent Permit#: Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee$: $ 85.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: EVERETT HOUSING AUTHORITY VAN WINKLE KEN 3107 COLBY AVE 3107 COLBY AVE EVERETT WA 98201 EVERETT WA 98201 PHONE: 4252384016 PHONE: 4252384016 TAX PARCEL ID# 29051700215100 SITE ADDRESS: 1123 RAINIER AVE CONCRETE PATIO 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 approved by the City of Everett Public Works Department dated 12/2/2016. 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with other inspection requests. See attached to schedule an [�I inspection. f� 6. Install erosion control measures per City of Everett Standards for small parcels and Cip 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. 8. Protect all existing underground utilities during construction. 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new Z impervious surfaces will be managed on-site in a manner that does not adversely affect O neighboring properties, including the City's right-of-way and/or easements and the improvements located therein. as U1 n F'"‘ Public Works Permit Fee Breakdown: O Paving (863SF) $45.00 DEC - 5 2016 PW Plan Review $20.00 PW Site Inspection $20.00 CITY OF EVERETT 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 /2-2causes of action that may arise because of installation and maintenance of the Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to remove a upon notice from the City and to re ce public property damaged hereby. pP FINAL INSPECTION Date ( 91)//6 Approved as Constructed Si ature of Applicant e 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. 6/e-