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PUBLICtIORKS PERMIT Date Applied: 8/29/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1808-069 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $65.00 <br /> 2 9 AUC LU <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JANOWICZ TED JANOWICZ TED <br /> 2425 56TH ST SW 2425 56TH ST SW <br /> EVERETT, WA, 98203 EVERETT, WA, 98203 <br /> PHONE: 4254070785 PHONE: 4254070785 <br /> TAX PARCEL ID#: 00505700005701 SITE ADDRESS: 1329 MADRONA A VE <br /> DESCRIPTION: CONSTRUCTION ENTRANCE AND GRAVEL PAD <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 8/29/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requested ee;t14i <br /> attached handout for phone number and online instructions to Request an Inspection. '—'"'— '®a <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approvediaWPOP.j'li. Remove upon <br /> 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. ' 'r-:3 <br /> 8. Protect all existing underground utilities during construction. crs <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfacesije <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-wail a /or <br /> easements and the improvements located therein. <br /> 10. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy all the inspection lirto <br /> request a Final for this permit when all items have been completed. florl.e64 •liAp <br /> �y <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the ow?p a� cDse if the City_ever <br /> requires use of the right-of-way for municipal purposes. 8 0 ;8 , pp, <br /> --4 <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits (Drainage Work) $25.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <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 /> T /Of �, , 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 /> Approved for Construction (Public Works) Date for and further agrees to remov- same upon notice from the City and to <br /> replace public pro rty damag-d thereby. <br /> FINAL INSPECTION Date 7-27 153/ <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 r."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 /> fu..it Goee <br />