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PUBLICIFORKS PERMIT �ateApPie : `SPT4/2�1717 <br /> Pub <br /> City of Everett Public Works Department <br /> !IC �l�rks Permit#: PW1708-061 <br /> 3200 Cedar Street Parent Permit#: C1708-021 <br /> Everett,WA 98201 Planning Reference It: <br /> Y ' (425)257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> POLYGON WLH LLC PANI ALAN/POLYGON <br /> 4695 MACARTHUR CT 8TH FLR <br /> NEWPORT BEACH, CA, 92660 , <br /> PHONE: PHONE: 4255867700 <br /> TAX PARCEL ID#: 29053200102300 SITE ADDRESS: 4510 31ST AVE SE <br /> DESCRIPTION: SITE WORK FOR A NEW SFR <br /> LOT 49 OF THE PLAT OF OVERLOOK AT RIVERFRONT DIV 2 <br /> THIS PERMIT COVERS SEWER, WATER AND DRAINAGE CONNECTIONS AND CONSRUCTION OF THE DRIVEWAY. <br /> LOT 49 OF THE OVERLOOK AT RIVERFRONT DIV 2 Section 32 <br /> Township 29 Range 05 Quarter NE NEW LOT 13 OF COE BLA#08-004 REC UND AFN 200804080781 & ROS <br /> 200804085006 &AS CORR BY AFN 201206070611 BEING A PTN OF GOVT LOTS 2, 3 &6 SD SEC <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 clea n perioc r'estria <br /> travel. <br /> 10. Public Works Construction Shall be done per approved plan dated 08/30/17. (copy attached) Sci - 2Q�� <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review $20.00 CCT <br /> PW Site Inspection $20.00 Pe; m, VF' s' <br /> Driveway $25.00 ie„; <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 /> 7, c3o/7 expenses,or causes of action that may arise because of installation and <br /> CJ maintenance of the improvement or other right-of-way use here to applied <br /> Approved 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 9151n- <br /> Approved <br /> 1 1` -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 />