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PUBLIORKS PERMIT Date Applied: 3/2/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1803-004 <br /> 3200 Cedar Street Assoc. Building Permit#: C1802-014 <br /> il Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $85.00 <br /> 2 6 APR 4L) <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HAMMER CORBIN & LESLEE [AppName] <br /> 5260 EAST DR [AppAdd] <br /> EVERETT, WA, 98203 [AppCi], [AppSt], [AppZip] <br /> PHONE: 4253508281 PHONE: [AppPhone] <br /> TAX PARCEL ID#: 00471700002200 SITE ADDRESS: 5620 EAST DR <br /> DESCRIPTION: SITE PAVING FOR DRIVEWAY <br /> ROOF ADDITION + PAVING ADDITION = —1600SF. DOWNSPOUTS ON ADDITION SHALL DISCHARGE TO SPLASH <br /> BLOCKS. <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 3/2/2018. Approved <br /> 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 construction for a <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and per 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. An inspection is required to review the formwork prior to pouring concrete. Schedule an inspection with the PW inspector <br /> before and after paving. <br /> 10. This permit must be finaled in order to close out this permit. Call the inspection line to request a Final for this permit <br /> when all items in the scope of this permit have been completed. (j <br /> Public Works Permit Fee Breakdown: (,( <br /> Paving (driveway revision) $45.00 <br /> PW Plan Review $20.00 APR 2 6 ?Q�8 <br /> PW Site Inspection $20.00 <br /> CITY OIY gr <br /> Permiter <br /> ces <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> I 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 /> 3 2, 1g/ expenses,or causes of action that may arise because of installation and <br /> L1A 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 /> r a e public pr..erjv damaged thereby. I <br /> _ % /24L P9 <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 /> FILE <br />