3231 COLBY AVE 2019-01-28 - Laserfiche WebLink

PUBLIC WORKS PERMIT Date: 9/16/2016 City of Everett Public Works Department Public Works Permit#: PW1609-068 3200 Cedar Street Parent Permit#: BI6O8-041 Everett, WA 98201 Planning Reference#: (425)257-8810 Public Works Fee$: $ 85.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: UNITY CENTER OF POSITIVE L WALKER MILES 3231 COLBY AVE EVERETT WA 98201-4306 PHONE: PHONE: 4252590868 TAX PARCEL ID# 00439176701400 SITE ADDRESS: 3231 COLBY AVE • SITE WORK FOR UNITY CENTER FOR POSITIVE LIVING EVERETT PLAT OF BLK 767 D-00- LOTS 14-15-16 (EXEMPT PER ST OF WA REG#01056-002) 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 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 9/16/2016. i-n-n--r'may Lr -re n-7 -a-a 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-740 rror = •-' �' 9 cra to starting construction and with other inspection requests. ; �, 6. Install erosion control measures per City of Everett Standards for small parcels and ; Mm* remove upon completion of the project prior to final approval of the permit. T; 'ciF) 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto �' '. � roadway. 6> > 8. Protect all existing underground utilities during construction. jam' F Public Works Permit Fee Breakdown: .4 t' , '-4 (Concrete 168SF) �• E Pavin 9 $45.00 �•''i�c'�>c.:,..�,:..�:.� ti.. PW Plan Review $20.00 L't=' gT; z.3, cy ' c.- c PW Site Inspection $20.00 -'al, r'.3" MAY 0 1 2017 A-I CITY OF EVERETT ACKNOWLEDGPONittakiNtelgIONS The undersigned owner/applicant hereby agrees to hold and save harmless the I1A4MIL / City e of acts from any and sll beau fer damagesi coats,expenses,cr l� causes of action that may arise because of installation and maintenance of the Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to remove same Upon notice from the City and to replace public property damaged thereby. Wail // 28 FINAL INSPECTION Date 0e11-Lets '71deln (!7 Approved as Constructed Sigf 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. �D �