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11130 3RD PL SE 2019-05-23
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11130 3RD PL SE 2019-05-23
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5/23/2019 9:12:37 AM
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5/23/2019 9:12:34 AM
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Address Document
Street Name
3RD PL SE
Street Number
11130
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PUBLIC WORKS PERMIT Date Applied: 3/27/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1803-067 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $85.00 <br /> 20 MAR 2018 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PEREZ CHRISTIAN CORONADO PEREZ CHRISTIAN CORONADO <br /> 11321 N LAKESHORE DR 11321 N LAKESHORE DR <br /> LAKE STEVENS, WA, 98258 LAKE STEVENS, WA, 98258 <br /> PHONE: 4257500475 PHONE: 4257500475 <br /> TAX PARCEL ID#: 00574600000400 SITE ADDRESS: 11130 3RD PL SE <br /> DESCRIPTION: REPAVE CONCRETE DRIVEWAY AND WALKWAY <br /> Replace portion of existing concrete driveway and walkway to front door(-435sf). <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 3/27/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. A Public Works Inspection is required to evaluate formwork prior to pouring concrete, and again after concrete is poured <br /> to approve the paving. Call the inspection line to schedule each inspection at 425-257-8881 by 4pm one business day <br /> before you want your inspection to take place. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and the direction of the PW Inspector. <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 /> 8. Protect all existing underground utilities during construction. <br /> 9. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Call the inspection line to <br /> request a Final for this permit when all items have been completed. <br /> Public Works Permit Fee Breakdown: n <br /> � <br /> Paving (435sf) $45.00 ZS t J <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 MAR 2 8 2018 <br /> CITY OF EVERETT <br /> 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 Everettfrom any and all claims for damages,costs, <br /> I 3 a� /? expenses,or causes of action that may arise because of installation and <br /> O maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) ate for and f er agrees to remove same upon notice from the City and to <br /> replace .u..is property damaged thereby. / 4' /FINAL INSPECTION Date 0> l /� <br /> Approved as Constructed (PW Inspector) Si• ure o' Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISS ED 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 /> Ft LE <br />
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