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PUBLIC mORKS PERMIT Date: 6/14/2016 <br /> Public Works Permit#: PW1606-018 <br /> t4 City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: C1606-008 <br /> Everett,WA 98201 <br /> (425)257-8810 Planning Reference#: <br /> Public Works Fee$: $965.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> POLYGON WLH LLC PANI ALAN/POLYGON <br /> 4695 MACARTHUR CT 8TH FLR <br /> NEWPORT BEACH CA 92660 <br /> PHONE: PHONE: 4255867700 <br /> TAX PARCEL ID# 29053200102300 SITE ADDRESS: 4309 29TH DR SE LOT 102 <br /> SITE WORK AND TRAFFIC MITIGATION FOR NEW SFR <br /> LOT 102 OF THE PLAT OF OVERLOOK AT RIVERFRONT DIV 1 <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 <br /> 4. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior togel <br /> starting construction and with other inspection requests. <br /> 6. Install any erosion control measures as determined by the Public Works Inspector, such I..I <br /> as silt fence, straw bales, swales, or erosion blankets. <br /> 7. Connect side sewer per City Standard#'s 601 through 604. <br /> 8. Connect rooftop downspouts to the drainage system provided for this lot. <br /> 9. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be <br /> kept clean and open for pedestrian travel. 1-7 <br /> 10. Public Works Construction Shall be done per approved plan dated 06/14/2016. (copy <br /> attached) <br /> 0 <br /> Public Works Permit Fee Breakdown: . <br /> PW Plan Review $20.00 i <br /> PW Site Inspection $20.00 <br /> Driveway $25.00 JEAN 2 8 2016 0 <br /> Traffic Mitigation $900.00 <br /> CITY OF EVERETT <br /> Permit Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the City <br /> of Everett from any and all claims for damages,costs,expenses,or causes of action <br /> that may arise because of installation and maintenance of the improvement or other <br /> right-of-way use hereto applied for and further agrees to remove same upon notice <br /> A proved for Construction Date from the City and to replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed A kU Signature of Applica <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />