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PUBLIC IORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />TYTUS WILLIAM B & SUSAN B <br />615 80TH ST SW <br />EVERETT WA <br />Date: 1/29/2016 <br />Public Works Permit #: PW1612-044 <br />Parent Permit #: <br />Planning Reference #: <br />Public Works Fee $: $ 135.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />I PHONE: I PHONE: <br />TAX PARCEL ID # 00412300000500 1 SITE ADDRESS: 615 80TH ST SW <br />SITE WORK FOR BLDG ADDITION <br />This permit includes drainage mitigation for MR1-5 under the 2010 Stormwater Management Manual, paving, and fire <br />service components. <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 <br />4. Site Civil Work to be done per plans approved by the City of Everett Public Works "'"` "'` ��` ""` <br />"-4 <br />Department dated 3/1412017 and Stormwater Management Questionnaire approved by Cl --a ;2 <br />a <br />the Public Works Department dated 2/2/2017. <br />5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 <br />[�I <br />prior to starting construction and with other inspection requests.'. <br />6. Install erosion control measures per City of Everett Standards for small parcels and <br />p <br />remove upon completion of the project prior to final approval of the permit. <br />7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br />roadway. <br />8. Protect all existing underground utilities during construction. ~ VI <br />; <br />9. Contact Cityof Everett Water Department to schedule fire service connection to <br />p n U 1:-1 �-T; <br />water main. Connection to be made by Everett Water Crews only. ;0 8 83 :8 "E" <br />�, , • <br />�� O <br />Public Works Permit Fee Breakdown: <br />Paving.......................................................$45.00 <br />Erosion & Sedimentation Control..............$50.00 <br />O <br />PW Plan Review.......................................$20.00 <br />PW Site Inspection <br />(-�— <br />....................................$20.00 TO POSTING - - <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless the <br />City of Everett from any and all claims for damages, costs, expenses, or <br />a< causes of action that mayfiswa� <br />ie bcause of installation and maintenance of the <br />proved for nstruction Date improvement or other rig - use hereto applied for and further agrees to <br />remove same upon noti om the City and to replace public property <br />\ =Y-, �_ Sr d maged thereb . <br />FINAL INSPEC N Date F 3 <br />Approved as Constructed <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS—WDATEPERMIT IS ISSUED AND THERI=AFTER 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 />/z?CP% <br />