12623 16TH AVE SE 2018-04-11 - Laserfiche WebLink

PUBLIcIORKS PERMIT Date: 11/17/2015 Public Works Permit#: PW1511-022 City of Everett Public Works Department AlaW 3200 Cedar Street Parent Permit#: Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee$: $ 3,739.41 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: PACIFIC HEIGHTS HOMES GUY 620 SE EVERETT MALL WY#350 EVERETT WA 98208 PHONE: 3606310794 PHONE: 3606310794 TAX PARCEL ID# 00574200007100 SITE ADDRESS: 12625 16TH AVE SE SITE WORK FOR 5-LOT SHORT PLAT 1202-2015-003 THIS WORK INCLUDES STREET IMPROVEMENTS, SEWER MAIN, WATER SERVICES, FIRE HYDRANT, DRAINAGE SYSTEM AND OTHER IMPROVEMENTS. 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. See attached to request w an inspection. ["t 5. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 02/02/2016. 6. Keep City Streets clean at all times 7. Provide Traffic Control as specified by the City Public Works Inspector and the Z MUTCD. r OPublic Works Permit Fee Breakdown: C ° PW Plan Review $1231.47 P"'l PW Site Inspection $2462.94 Asphalt Paving $45.00 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 Approved for Construction Date remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date Approved as Constructed Signature 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.