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,---710-_ PUBLORKS PERMIT Date Applied: 2/22/2018 <br /> Public Works Permit#: PW1802-024 <br /> City of Everett Public Works Department Parent Permit#: <br /> ` 3200 Cedar Street <br /> ,, _ Everett,WA 98201 Planning Reference#: <br /> (425)257-8810Public Works Fee: $85.00 <br /> ,,„:„.:#4,1, <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SHARED CONSULTING LLC MEHROTRA MASH (OWNER) <br /> 11761 162ND AVE NE 11761 161 ND AVE NE <br /> REDMOND.WA,98052 REDMOND,WA,98052 <br /> PHONE: PHONE:4258023918 <br /> TAX PARCEL ID#: 00545001801800 SITE ADDRESS:2002 MADISON, <br /> DESCRIPTION:REPAVING PARKING LOT <br /> Approximately 1260SF of paving proposed. NOTE: If additional paving Is proposed beyond the scope of the approved site <br /> plan,additional permits will be required and drainage mitigation may be triggered if the total paving meets or exceeds 2000sf. <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 Civil Work to be done per plans approved by the City of Everett Public Works Department dated 2/23/2015. <br /> Approved plans must remain on job-site at all times, "' ` ' <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to sta ing-oonstr�uctionl.for 8 <br /> consultation,to evaluate Erosion/Sedimentation control set-up, and with all other inspection rests`.--: ' r i =r <br /> � L-��i .7 7 -{ <br /> 6, Install and maintain erosion control measures per City of Everett Standards and per the direction Ott',RN lr;ts aector. <br /> Remove upon completion of the project prior to final approval of the permit. ;`::; <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. ':-.'. ;-=�; ~-, <br /> T= ...:7 <br /> 8. Protect all existing underground utilities during construction. <br /> 9. This permit covers the scope of work on the approved plans only. If additional paving is requested, It will need to be ,-'. <br /> applied for separately and may trigger drainage mitigation. ,re4 ; <br /> Iii , <br /> � i _ <br /> Public Works Permit Fee Breakdown: ;-� .,t,:�t;: <br /> Paving (1260sf) $45.00 '-:: t',.,'''-_ =`• <br /> Y�„Fuek::::...>,:.3 i.T7 <br /> PW Plan Review $20.00 ;Y,';m; ., <br /> PW Site Inspection. $20.00 4=' > �i;v" <br /> a--.:�ss <br /> r.--x <br /> Gly of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> : jgueutit1/4. , / 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 /> V / J3 �g expenses,or causes of action that may arise because of installation and <br /> w maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction(Public Works) D te for and further agrees to remove same upon notice from the City and to <br /> repl ce pub c property dam_age efeby. <br /> FINAL INSPECTION Date '4 <br /> Approved as Constructed(PW Inspector) Si ' ture bf Applicant � Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1a0 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 />