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0 6 JUN ZU i <br /> ‘, PUBLIC WORKS PERMIT Date Applied: 3/1/2017 <br /> art Public Works Permit#: PW1703-004 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street <br /> Parent Permit#: C1604-116 <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: 3345 30th Dr LOT 71 <br /> DESCRIPTION: SITE WORK FOR NEW TOWNHOME <br /> THIS PERMIT COVERS SITE WORK FOR THIS TOWNHOME. <br /> LOT 71 PLAT OF THE TOWNS AT RIVERFRONT <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. Site work to be done per approved site plan. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br /> public works inspection requests. <br /> 6. Subsurface foundation preparation shall adhere to the GeoDesign geotechnical report which will include mat foundations, <br /> mat foundations with trenches and mat foundations with additional exploration needed. <br /> 7. Structural fill, testing, proof rolling for each foundation shall be done per the Geotechnical Report. The applicant will <br /> provide special inspection and reports for these issues and others to insure compliance with the Report and applicable <br /> building codes. <br /> 8. The applicant must request applicable City of Everett inspections for any of the under-slab utilities installed in conjunction <br /> with the foundations. <br /> 9. Install erosion control measures as determined by the Public Works Inspector, such as silt fen , y�:' I r <br /> erosion blankets. I 1 <br /> 10. Flexible connection for utilities are required as indicated in the GeoDesign geotechnical repo <br /> 11. Driveways from the street to Garage shall be paved. JUN - 6 2017 <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review $20.00 �(� � �p <br /> PW Site Inspection $20.00 TOPOSTING 13 TT <br /> Driveway $25.00 <br /> /�� Permit Services <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 /> f 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. (Ain <br /> FINAL INSPECTION Date <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 />