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PUBLICCrIORKS PERMIT Date Applied: 7/6/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1707-005 <br /> 3200 Cedar Street Parent Permit#: C1706-001 <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $115 <br /> 1 6 N 0 V 2017 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HUMMER DAVID AND STEPHANIE HUMMER DAVID AND STEPHANIE <br /> 2115 KIRBY PLACE 2115 KIRBY PLACE <br /> EVERETT, WA, 98203 EVERETT, WA, 98203 <br /> PHONE: 9104891353 PHONE: 9104891353 <br /> TAX PARCEL ID#: 00417000700705 SITE ADDRESS: 2220 GIBSON PL <br /> DESCRIPTION: NEW SFR DETACHED <br /> THIS PERMIT COVERS CONSTRUCTION OF DRIVEWAY AND INSTALLATION OF SEWER, WATER AND DRAINAGE <br /> SYSTEMS. <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 09/11/2017 and <br /> approved SWPPP. Approved 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, andwith all other inspection requests. <br /> 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 7. Protect all existing underground utilities during construction. <br /> 8. A sprinkler system is required for this building in compliance with the requirements of NFPA Standards 13D. <br /> 9. The drainage easement for this project must be recorded prior to final approval. <br /> 10. Rip-Rap pad for drainage outfall should be a minimum of 12"thick. <br /> Public Works Permit Fee Breakdown: [�(1 n m <br /> Erosion Control $50.00 C��J <br /> Driveway installation $25.00 NOV ' 6 2017 <br /> PW Plan Review $20.00 J <br /> PW Site Inspection $20.00 <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 Everett from any and all claims for damages,costs, <br /> f expenses,or causes of action that may arise because of installation and <br /> ' ' 1 maintenance of the improvement or other right-of-way use here to applied <br /> Ap oved for Construction (Public Works) Date for and further agrees . re 'ove same upon notice from the City and to <br /> repla blic prope da raged thereby. <br /> 4110.1 <br /> FINAL INSPECTION Date ‘11;1 I� <br /> Approved as Constructed (PW Inspector) e e of d7. .nt Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PE AIT 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 />