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ii)11 <br /> - PUBLIC ORKS PERMIT date Applied: 4/7/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1704-006 <br /> 3200 Cedar Street Parent Permit#: 81703-006 <br /> 1 Everett,WA 98201 Planning Reference#: <br /> -` (425) 257-8810 Public Works Fee: $90 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DUNN JOHNIE SAME <br /> 4506 COLBY AVE <br /> EVERETT, WA, 98203-2923 <br /> PHONE: 4253432719 PHONE: <br /> TAX PARCEL ID#: 00407801000102 SITE ADDRESS:4506 COLBY AVE <br /> DESCRIPTION: NEW GARAGE <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Downspouts for new garage shall discharge to splash blocks. <br /> 5. Erosion control measures for small parcels shall be installed. ; i;; <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway. M-. ,, , 1-4. ,_-,.r.=,___,.1-... r , <br /> 7. Keep City streets clean at all times. =1 <br /> 8. Stormwater from new impervious surfaces shall not be discharged, thro 1 l r .ats gr,other 6 pe onnections, <br /> into a combined sewer, includinga lateral line or side sewer connected to t �s "'Ci bined sew y' stem aiper EMC <br /> Chapter 14.08.180 H. ;:..,..4 <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious stjaces will mNakged <br /> on-site in a manner that does not adversely affect neighboring properties, including the City's right-c way and/or eater ;nts <br /> and the improvements located therein. Tge. r' <br /> 10. Contact the City of Everett Public Works Inspector Randy Allen at 425-3p-7403 prior to starting construction ands ith <br /> other inspection requests. See attached to request an inspection. <br /> .f' ..- <br /> CC) <br /> Public Works Permit Fee Breakdown: N L c P a, ;' ';c': '•„'4„�`r.) 4.-:, <br /> Erosion Control Plans(Other) $50.00 L:;LpI 8 8 R 81.2`= r-:. 3 C='p <br /> C-:7 1-^-0 I-. <br /> PW Plan Review $20.00 —' ' <br /> PW Site Inspection $20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> s, harmless the City of Everett from any and all claims for damages,costs, <br /> Via• ; ,/ IL /0_ , /expenses,or causes of action that may arise because of installation and <br /> // ji maintenance of the improvement or other right-of-way use here to applied <br /> Apt OV:. for Constru on .Public W.rks) to for ar a u her agrees to remove same upon notice from the City and to <br /> rept. - a a i operty damaged thereby. <br /> FINAL INSPECTION Date .. q <br /> Approved as Constructed (PW Inspector) <br /> 'ign.to e of A•plicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE" ' IT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />