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PUBLIC mORKS PERMIT =ate Applied: 6/5/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1706 013 <br /> 3200 Cedar Street Parent Permit#: C1705-007 <br /> Everett,WA 98201 Planning Reference#: SUB14-006 <br /> (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> POLYGON WLH LLC PNW Riverfront LLC <br /> 11624 SE 5TH ST 11624 SE 5th Street#200 <br /> BELLEVUE, WA, 98005 BELLEVUE, WA, 98005 <br /> PHONE: PHONE: 4255867700 <br /> TAX PARCEL ID#: SITE ADDRESS: 4428 RIVERFRONT BLVD <br /> LOT 20 <br /> DESCRIPTION: SITE WORK FOR NEW SFR <br /> THIS PERMIT COVERS SITE WORK AND SEWER, WATER AND DRAINAGE CONNECTIONS FOR THIS SFR <br /> LOT 20 OF THE OVERLOOK AT RIVERFRONT DIV 2 <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. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> other inspection requests. <br /> 6. Install any erosion control measures as determined by the Public Works Inspector, such as silt fence, straw bales, <br /> swales, or erosion blankets. <br /> 7. Connect side sewer per City Standard#'s 601 through 604. <br /> 8. Connect rooftop downspouts to the drainage system provided for this lot. <br /> 9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for pedestrian <br /> travel. <br /> 10. Public Works Construction shall be done per approved plan dated06/05/17. (Copy attached) <br /> Public Works Permit Fee Breakdown: 8,3 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 i <br /> Driveway $25.00 g AUG 14 2017 <br /> 1)1.) <br /> C1 PerO e � RETT <br /> ices <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> * < harmless the City of Everett from any and all claims for damages,costs, <br /> s--/ 7 expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Appr• ed for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date '6I`' fl <br /> Approved as Constructed (PW Inspector) Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT 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 /> ,r1w <br />