5208 BEVERLY LN 2018-04-03 - Laserfiche WebLink

PUBLIC WORKS PERMIT Date: 4/13/2016 Public Works Permit#: PW1604-013 City of Everett Public Works Department 3200 Cedar Street Parent Permit#: B1604-008 Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee$: $ 45.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: ERICKSON JERRY 5208 BEVERLY LN EVERETT WA 98203-3146 PHONE: PHONE: TAX PARCEL ID# 00471900002100 SITE ADDRESS: 5208 BEVERLY LN NEW RESIDENTIAL WORKSHOP THIS PERMIT COVERS DRAINAGE REVIEW AND INSPECTION HIGHLAND FARMS 2 BLK 000 D-00- LOT 21 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. The contractor must meet with the Public Works Inspector to discuss potential cl ± r a lam -; drainage routing prior to beginning the project. Call Randy Allen at 425-339-7403. 7z: cr3 5. Any damage to the City Sidewalk or other improvements shall be replaced at the a-a direction of the City Public Works Inspector. "' 6. It the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be managed on-site in a manner that does not adversely affect �' 0 neighboring properties, including the City's right-of-way and/or easements and the a' improvements located therein. E :t 'CO 8c c}c:1c, O 7. Install erosion control measures as determined bythe Public Works Inspector, such' c--3? as silt fence, straw bales, swales, or erosion blankets. E"t ‘,4: r c� �, Public Works Permit Fee Breakdown: "— Misc. Minor Permits/ Plan Review $25.00 � � �� PW Site Inspection $20.00 Z- 7//T ACKNOWLEDGEMENT DITIONS 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 /3-/6 causes of action that may arise because - installation and maintenance of the Approved for Construction Date improvement or other right-of-way use — eto applied for and further agrees to remove same upon .tice fro' the and to replace public property damage, thereby. FINAL INSPECTION Date 6 i�� 20/ Approved as Constructed u - of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAY✓.SiF D E PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UP•N ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.