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UBL 0 <br />ORKS PERMIT <br />City of verett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />.411ate Applied": tlhA7 201 <br />PlUrks Permit #: PW1707-048 <br />Parent Permit #: C1604-094 <br />Planning Reference #: SUB14-006 <br />Public Works Fee: $65 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />POLYGON WLH LLC <br />PNW Riverfront LLC <br />11624 SE 5TH ST <br />11624 SE 5th Street #200 <br />BELLEVUE, WA, 98005 <br />BELLEVUE, WA, 98005 <br />PHONE: <br />PHONE: 4255867700 <br />TAX PARCEL ID #: <br />SITE ADDRESS: 3440 31th Dr LOT 118 <br />DESCRIPTION: SITE WORK FOR NEW TOWNHOME <br />THIS PERMIT COVERS SITE WORK FOR THIS TOWNHOME. INCLUDING SEWER, WATER, DRAINAGE AND <br />DRIVEWAY <br />LOT 118 PLAT OF THE TOWNS AT RIVERFRONT <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 work to be done per approved site plan. <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br />public works inspection requests. <br />6. Subsurface foundation preparation shall adhere to the GeoDesign geotechnical report which will include mat foundations, <br />mat foundations with trenches and mat foundations with additional exploration needed. <br />7. Structural fill, testing, proof rolling for each foundation shall be done per the Geotechnical Report. The applicant will <br />provide special inspection and reports for these issues and others to insure compliance with the Report and applicable <br />building codes. <br />8. The applicant must request applicable City of Everett inspections for any of the under -slab utilities installed in conjunction <br />with the foundations. <br />9. Install erosion control measures as determined by the Public Works Inspector, such as silt fen alesles or <br />erosion blankets. <br />TOEU <br />10. Flexible connection for utilities are required as indicated in the GeoDesign geotechnical repo . <br />11. Driveways from the street'to Garage shall be paved. AUG — i 2017 <br />Public Works Permit Fee Breakdown: <br />PW Plan Review..............$20.00 <br />PW Site Inspection .......... $20.00 CITY OF EVERE T T <br />Driveway..........................$25.00 Permit Services <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 />—7 7 -Z? �� / expenses, or causes of action that may arise because of installation and <br />� <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 damaged thereby. <br />FINAL INSPECTION Date <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 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 />