1223 LOMBARD AVE 2018-07-25 - Laserfiche WebLink

[Lit PUBLIC WORKS PERMIT Date: 5/23/2017 Public Works Permit#: PW1705-040 , City of Everett Public Works Department -. . 3200 Cedar Street Parent Permit#: CW1704-004 00- Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee$: $ 85.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: BROWN LAINA R VITAL LAUREN PO BOX 12844 EVERETT WA 98206 PHONE: PHONE: TAX PARCEL ID# 00397223901200 SITE ADDRESS: 1223 LOMBARD AVE PERMIT FOR NEW PAVING OFF ALLEY -1500SF OF PAVING 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 T; 4. Site Civil Work to be done per plans approved by the City of Everett Public Works '--�1-`i-- 1--1--1-- ai r a Department dated 5/23/2017. F—rn ' : W 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-740 riorc'G; .,_, ,�=, to starting construction and with other inspection requests. r- ,.--- cry c-al a' =' mil 6. Install erosion control measures per City of Everett Standards for small parcels and c �, 11 remove upon completion of the project prior to final approval of the permit. ,7 8 g'',` 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. ft 1 8. Protect all existing underground utilities during construction. .P, 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new m , impervious surfaces will be managed on-site in a manner that does not adversely a ct . r a4. Z neighboring properties, including the City's right-of-way and/or easements and the �, Ln�.;., c, _, C improvements located therein. If new pavement area exceeds 2000sf, drainage °" �'`-''`'"' �' '�' i-L.; mitigation will be triggered and will be to be addressed to meet the Department of '-- E.E-0Ecology's 2014 SWMMWW. V) Public Works Permit Fee Breakdown: C Paving (-1500SF) $45.00 a PW Plan Review $20.00 PW Site Inspection $20.00 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 • /I y 5 LJ Zecauses 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 Aper► -d for Cons IP/ /, Date remove same upon notice from the City and to replace public property 4____. (—Li damaged there• FINAL INSP:Z TIO - Date ,� �' ,-- 7--/ 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. RIC