Laserfiche WebLink
1: <br /> -<//co <br /> PUBLIC ORKS PERMIT Date: 10 201 <br /> �' Public Works Permit#: PW1610-021 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1609-026 <br /> }- Everett, WA 98201 <br /> �w� Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 110.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BROCKWAY JENNIFER <br /> 5701 LOMBARD AVE <br /> EVERETT WA 98203 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00495801300600 SITE ADDRESS: 5701 LOMBARD AVE SE <br /> SITE WORK FOR SFR 2 STORY ADDITION AND REMODEL <br /> AUREL HEIGHTS BLK 013 D-00- LOT <br /> 6 <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 —19 <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Wo.fks -x' <br /> Department dated 11/23/2016. <br /> -r,-r•,rte.,--I�:1-f-)'I'-1:7-r,"��_:�.'q,A-,,. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 42c- 44 33ir ; ;.11-;:';-',IP2 =:. w <br /> to starting construction and with other inspection requests. ,=a . �-� -T' II-Xi ' '-;' <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and $ l i <br /> remove upon completion of the project prior to final approval of the permit. ' PI <br /> r'`-`� <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be t °+eked onto '" ,! ,�;;4 <br /> roadway. �` <br /> 8. Protect all existing underground utilities during construction. 431 Alio <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runctf tom new *.r:. <br /> impervious surfaces will be managed on-site in a manner that does not ""` `""'in i`f` <br /> P 9 aVy� fc � =* ��1 r;•erg�,:i r ' <br /> neighboring properties, including the city's right-of-way and/or easementg.� -5 r ti.;; ;7 i-'ems`•L n:'--, y <br /> improvements located therein. '7? ;=' '' `''�'0 3 "` ,c ra {, <br /> C__, <br /> 10. Driveway must be paved from edge of roadway to garage. Gravel shall not be rn <br /> permittable for any driveable or parked on surfaces. Driveway apron must meet City of ' "`"=' CA <br /> Everett Standards. O <br /> Public Works Permit Fee Breakdown: <br /> Paving (Driveway, apron, &walkways) $45.00 Pi <br /> Misc. Minor Permits (Drainage Work) $25.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 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 /> 'J1-40 I / / / II-23—ZOg causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public property <br /> damaged thereby. ) // <br /> FINAL INSPECTION Date <br /> LAY/4,-494"--C4,b ' '(/�' !�" /`�"l� <br /> Approved as Constructed igtature of Acant 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 /> T4 <br />