10200 19TH AVE SE COSTCO FUEL STATION 2022-05-23

PUBLIC WORKS PERMIT —bate Applied: 4/20/2018 #0.. City of Everett Permit Services Public Works Permit#: PW1804-043 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: 1101444 ," Everett,WA 98201 Planning Reference#: PREAPP18-005 (425)257-8810 Public Works Fee: $396.30 05 SEP 1018 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: COSTCO WHOLESALE CORP COSTCO WHOLESALE CORP 999 LAKE DR 999 LAKE DR ISSAQUAH, WA, 98027 ISSAQUAH, WA, 98027 PHONE: 4254277540 PHONE: 4254277540 TAX PARCEL ID#: 28051900101000 SITE ADDRESS: 10200 19TH AVE SE DESCRIPTION: SITE WORK FOR EXPANSION OF COSTCO FUELING FACILITY 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 approved by the City of Everett Public Works Department dated 8/15/2018. 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 for a consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requested. See the attached handout for phone number and online instructions to Request an Inspection. 6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. 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. Protect all existing underground utilities during construction. 9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the improvements located therein. 10. This permit must be finaled'in order to close out this permit. Call the inspection line to request a Final for this permit when all items have been completed. Public Works Permit Fee Breakdown: Erosion Control $200.00 I Int 1 Grade/Fill/Excavate (325CY) $110.00 SEEP _ Paving (46.30SF) $46.30 5 2018 PW Plan Review $20.00 PW Site Inspection $20.00 CITY OF EVERET Permit Services T City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS 9 / y The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everettfrom any and all claims for damages,costs, ff ~-/ f U /d' 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 agrees to remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date - –;:42tb Approved as Constructed (PW Inspector) Sigrature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE P MIT IS ISSUED AND THEREAFTER 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.