917 112TH ST SE 2019-11-04 - Laserfiche WebLink

PUBLIC�RKS PERMIT Date Appi9d`3 5/i`7o NC Public Works Permit#: PW1705 025 City of Everett Public Works Department Parent Permit#: PW17 5-0 3200 Cedar Street '.-- 7...1 Everett,WA 98201 Planning Reference#: ::::Or' ¢ 3 (425)257-8810 Public Works Fee: $mss 205400 OWNER NAME AND ADDRESS: HABITAT FOR HUMANITY OF SNOHOMISH COUNTY HABITAT FOR HUMANITY OF SNOHOMISH COUNTY 925 1/2 112TH ST SE 925 1/2 112TH ST SE EVERETT, WA, 98208-5025 EVERETT, WA, 98208-5025 PHONE: PHONE: APPLICANT NAME AND ADDRESS: TAX PARCEL ID#: 28051900300300 SITE ADDRESS: 917 112TH ST SE DESCRIPTION: SITE WORK FOR NEW SFR THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications for Development'. 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. 4. Site Civil Work to be done per plans and drainage report approved by the City of Everett Public Works Department dated 7/28/2017. Approved plans must remain on job-site at all times. 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction to set up a pre-construction consultation. All inspections must be formally requested. See the attached handout to Request an Inspection form for phone number and online instructions. 6. Install and maintain erosion control measures per City of Everett Standards and approved SWWPPP/Plans. Remove upon completion of the project prior to final approval of the permit. 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. 8. As-builts of storm, sanitary sewer, and water systems will be required to be submitted to the PW Inspector per City Design and Construction Standards and Specifications for Development prior to final approval/close out of the permit. 9. This permit must be finaled in order to close out this permit/grant a Certificate of Oc upancy. Call the inspection line to request a Final for this permit when all items have been completed. ea`'''J Public Works Permit Fee Breakdown: Paving $45.00 AUG Grading/Fill/Excavate (140CY) $70.00 3 2017 Erosion Control $50.00 CIT PW Plan Review $20.00 Perin it RE PW Site Inspection $20.00 Ser E es TT City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs, Alialut L. '-—2g zorr expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use here to applied Approved for Construction (Public Works) Date for and further.•rees to remove same upon notice from the City and to replac- •••, c pro.erty d., aged hereby. i A� A . FINAL INSPECTION Date fq(7 Approved as Constructed (PW Inspector) Signature of As: Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND T REAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. File,