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OUBLICOVORKS PERMIT Date Applied: 8/31/2016 <br />City of Everett Permit Services Public Works Permit #: PW1608-073 <br />3200 Cedar Street, 2"d Floor Associated Bldg Permit #: <br />Everett, WA 98201 Planning Reference #: SS16-001 <br />(425) 257-8810 Public Works Fee: $255 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />REID SECUNDUS, LLC <br />WAYNE SMITH <br />519 HOQUTAM AVE NE <br />P.O. BOX 5015 <br />RENTON, WA, 98059 <br />EVERETT, WA, 98203 <br />PHONE: 4252521884 <br />PHONE: 4252521884 <br />TAX PARCEL ID #: 00464700006900 <br />SITE ADDRESS: 4110 CLIFF DR <br />DESCRIPTION: 2 LOT SHORT PLAT <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 05123/2018 <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction and with <br />other inspection requests. See attached to request an inspection. <br />6. Connect side sewer per City Standard #601. <br />7. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />8. Install erosion control measures as determined by the Public Works Inspector, such a..s,sltfenee,.,st��vu,.�ales swales, or <br />erosion blankets. "' ''-' <br />9. Remove erosion control measures upon completion of the project prior to final approWf? of <br />10. Must comply with Short Subdivision conditions(SS15-008). <br />Public Works Permit Fee Breakdown: <br />Erosion Control Plans Short Plat..........................$50.00 LTI <br />Grade/Fill/Excavate (EST 130 CYDS).................$140.00 <br />Asphalt driveway paving(720 S.F.).......................$25.00 <br />PW Plan Review <br />...................................................$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 />_ p��' rL 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 />A , ro r Constructlo IUlic Works) Date for and further agrees to remove sa upon notice from the City and to <br />replace pub' o da d by. <br />S%3a f� <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) Si ature of A icant r5ate <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 />