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PUBLIC WORKS PERMIT Date Applied: 10/5/2018 <br /> lilliP446/...41 City of Everett Permit Services Public Works Permit#: PW1810-019 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: B1808-045 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $85.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MORALES RAFAEL A& MERKULOV DMITRIY MORALES RAFAEL A& MERKULOV DMITRIY <br /> 1025 N PARK DR 1025 N PARK DR <br /> EVERETT, WA, 98203-1828 EVERETT, WA, 98203-1828 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: 00464700003500 SITE ADDRESS: 1025 N PARK DR <br /> DESCRIPTION: NEW AND REPLACED DRIVEWAY AREAS <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 10/05/2018. <br /> 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 constructieil for , <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formallyrreg,iaggted eehel <br /> attached handout for phone number and online instructions to Request an Inspection. •—. <br /> • <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approved . R hove upon <br /> 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. , ; r-:, <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfdces; 'y pe <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way ag:I/or <br /> easements and the improvements located therein. itil, on <br /> 10. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. all the inspection lirto <br /> request a Final for this permit when all items have been completed. . ,a .n t.�=: : <br /> 11. All work constructed within the public right-of-way must be removed or relocated at the o f-e 'p si a if the City.ever <br /> requires use of the right-of-way for municipal purposes. 805488 a' <br /> c7r)r- <br /> --i C)F--, <br /> rx� <br /> Public Works Permit Fee Breakdown: �' <br /> Paving (1385SF) $45.00 <br /> PW Plan Review $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 /> !O/6��0 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 /> Approved for Construction (Public Works) Date for and further agr-es to remove same upon notice from the City and to <br /> replace public pro; , damaged thereby. <br /> *111 I© 4,, <br /> FINAL INSPECTION Date r v <br /> Approved as Constructed (PW Inspector) Signatur- of Applica 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 />