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PUBLIC RORKS PERMIT <br /> City <br /> 10/31/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1810-073 <br /> hi•of, <br /> 4 1 .111W.11 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $85.00 <br /> 15 NOV 2018' <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SHARMA TANOVI SHARMA TANOVI <br /> 1214 59TH PL SW 1214 59TH PL SW <br /> EVERETT, WA, 98203 EVERETT, WA, 98203 <br /> PHONE: 4253508327 PHONE: 4253508327 <br /> TAX PARCEL ID#: 00836700004900 SITE ADDRESS: 1214 59TH PL SW <br /> DESCRIPTION: PAVER PATIO AND TURN AROUND AREA <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 11/07/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting constructpn fora,, <br /> consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formallyre uestedee <br /> attached handout for phone number and online instructions to Request an Inspection. a �; C-4 <br /> 6. Install and maintain erosion control measures per City of Everett Standards and approvedgiNVAR3fein. Figtriove upon <br /> completion of the project prior to final approval of the permit. ; '1 ;- <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. `"'' `'cr' `` <br /> 8. Protect all existing underground utilities during construction. -7 7,11.7 1--4 <br /> 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces-uZi.it,.be <br /> I--'• T <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way ap�/or <br /> easements and the improvements located therein. <br /> 10. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancyall the inspection liras to <br /> request a Final for this permit when all items have been completed. ,. r F V <br /> n Ti 0 }C>C.J7 <br /> Public Works Permit Fee Breakdown: 8 0 8 8 <br /> Paving (1,200SF) $45.00 C7-4�r; <br /> r•.� <br /> PW Plan Review $20.00 1---1--- <br /> PW <br /> — 1=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 /> 114:4_012/ <br /> � 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 agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> le-1S --1657 <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 /> t <br />