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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />POLYGON WLH LLC <br />11624 SE 5TH ST <br />BELLEVUE WA 98005 <br />YA24117 <br />-)/�7 <br />Date: <br />Public Works Permit #: PW1703-051 <br />Parent Permit #: C1603-036 <br />Planning Reference #: SUB14-006 <br />Public Works Fee $: $ 416.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PNW Riverfront LLC <br />11624 SE 5th Street #200 <br />BELLEVUE WA 98005 <br />PHONE: PHONE: 4255867700 <br />TAX PARCEL ID # SITE ADDRESS: 3401 31 ST DR LOT 158 <br />SITE WORK FOR NEW TOWNHOME / TRAFFIC MITIGATION <br />THIS PERMIT COVERS SITE WORK FOR THIS TOWNHOME. <br />THIS PERMIT COVERS TRAFFIC MITIGATION FOR THIS UNIT <br />LOT 158 PLAT OF THE TOWNS AT RIVERFRONT <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. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 F_ <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 <br />to starting construction and with public works inspection requests. <br />6. Subsurface foundation preparation shall adhere to the GeoDesign geotechnical report <br />which will include mat foundations, mat foundations with trenches and mat foundations <br />with additional exploration needed. <br />7. Structural fill, testing, proof rolling for each foundation shall be done per the <br />Geotechnical Report. The applicant will provide special inspection and reports for these <br />issues and others to insure compliance with the Report and applicable building codes. <br />8. The applicant must request applicable City of Everett inspections for any of the <br />under -slab utilities installed in conjunction with the foundations. <br />9. Install erosion control measures as determined by the Public Works Inspector, such <br />as silt fence, straw bales, swales, or erosion blankets. <br />10. Flexible connection for utilities are required as indicated in the GeoDesign <br />geotechnical report. <br />11. Driveways from the street to Garage shall be paved. <br />Public Works Permit Fee Breakdown: <br />PW Plan Review .............. $20.00r <br />PW Site Inspection .......... $20.00 TO Jai <br />Driveway ......................... $25.00 <br />Tra is i elation $351 00 <br />APR 2 7 20117 DD <br />CITY OF EVERETT <br />Permit Services <br />.."" """ ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and save harmless the <br />City of Everett from any and all claims for damages, costs, expenses, or <br />,S 2O J-7— causes of action that may arise because of installation and maintenance of the <br />roved for Constru Dat improvement or other right-of-way use hereto applied for and further agrees to <br />p remove same upon notice from the City and to replace public property <br />damaged thereby. <br />FINAL INSPECTION Date �/ gtz-f /n <br />Approved as Constructed 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 <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />-r-1 (P' <br />