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PUBLII NORKS PERMIT In II Date Applied: 1/12/2018 <br /> City of Everec <br /> P orks Permit#: PW1801-030 <br /> tt PubliWorks Department <br /> 3200 Cedar Street Assoc. Building Permit#: C1711-004 <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $110.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME A AND ADDRESS: <br /> JUBIE ALFRED/KATHLEEN JUBIE ALFRED/KATHLEEN <br /> 2008 23RD ST 2008 23RD ST <br /> EVERETT, WA, 98201 EVERETT, WA, 98201 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: 00439149400102 SITE ADDRESS: 2008 23RD ST <br /> DESCRIPTION: SITE WORK FOR NEW SFR <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 1/12/2018. <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 constructh for <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and wttb-all othec•inspeotion-requests---1— _; CA <br /> 6. Install and maintain erosion control measures per City of Ev{erett atapicl rd. pp.d,; ti direr t r ofIttr PW inspector. <br /> Remove upon completion of the project prior to final approval otilie *Oft. ,- 2 k :-....-Ti c-3 ; ; F_•,:_.-, =; ; ' ` <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debrisT&5ib trackedlianto roadway '='''-'� ; ;-2. <br /> 8. Protect all existing underground utilities during construction. Yom; r:=, <br /> 9. Water and Sewer connections per separate Utility Permit. Connect Side Sewerpr COE Standard Drawing=#'s I <br /> through 604. For a pdf version of the City's Design and Constructs Standards an€FSpecifications for Development 'visit <br /> the https://everettwa.gov/1531/Design-Construction-Standards. •,"{ ws <br /> Public Works Permit Fee Breakdown: ; ".i `+ :.,, <br /> Paving (Driveway and Walk) $45.00 '. "l 1. .. •..;1uA -L `? <br /> ,--•! . ,ry:,,-,. .,Cert-c•,-e1.,C:J t--,e--) ' i'_7 i•T1 <br /> Misc. Minor Permits (new SFR Site Work) $25.00 :3 Y r;)_'_=LW. 'F.._:,:i` `-V'° ;=3° .SI 'u <br /> PW Site Inspection $20.00 `-y; <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> AllinAL (,,, atiltfA— harmless the City of Everett from any and all claims for damages,costs, <br /> ///2/00/15. 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 remove same upon notice from the City and to <br /> replace public property dams•-• thereby. <br /> / , f 0 , i .......3 i......i B <br /> FINAL INSPECTION Date / •` <br /> Approved as Constructed (PW Inspector) -igna re of Appli :nt Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERM IS ISSUED AND HEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON <br /> ON THIS PROJECT OVER 90-DAY DURATION. <br /> Fr/e, <br />