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PUBLIANORKS PERMIT • Date Applied: 9/26/2017 <br /> City of Everett Permit Services Public Works Permit#: PW1709-047 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: B1709-039 <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $1140.05 <br /> 02 MAY 2019 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> QUINTANA ANTHONY M & DEBORAH G STAVERT JEFF <br /> PO BOX 23152 <br /> FEDERAL WAY, WA, 98093 , , <br /> PHONE: PHONE: 4252522153 <br /> TAX PARCEL ID#: 28041300103900 SITE ADDRESS: 8525 EVERGREEN WAY <br /> DESCRIPTION: CONSTRUCT NEW BURGER KING <br /> THIS WORK COVERS SITE DEVELOPMENT SUCH AS PAVING, UTILITY HOOK UPS AND STREET IMPROVEMENTS. <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 and <br /> 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, SWPPP, and drainage report approved by the City of Everett Public Works Department dated <br /> 02/15/2019.Approved plans must remain on job-site at all times. <br /> 5. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally request <br /> all required inspections. Flyers are provided at permit issuance with instructions on how to request an inspection online. <br /> 6. City of Everett Water Department crews shall make all connections to City water main at owner/contractor's expense.This work to be <br /> under a separate Utility Permit to be purchased at the Permit Services Counter per a cost estimate by the Water Department.Work shall <br /> be scheduled 3-4 weeks in advance. <br /> 7.As-builts of storm,sanitary sewer,and water systems will be required to be submitted to the PW Inspector per City Design and <br /> Construction Standards and Specifications for Development prior to final approval/close out of the permit. <br /> 8. A 1-year Warranty Bond in the amount of 10%of the construction costs for all public improvements shall be submitted to the City prior <br /> to final approval/close out of the permit. <br /> 9.A 2-year Warranty Bond in the amount of 10%of the construction costs for all Stormwater Infrastructure shall be submitted to the City <br /> prior to final approval/close out of the permit. <br /> 10. Stormwater covenant to be recorded before final approval. <br /> 11.A Landscape Inspection is required by the Planning Department prior to final by the Public Works Inspector. Schedule the existing <br /> Planning Landscape inspection under"My Active Inspections"in your dashboard on the Online Permitting Portal. <br /> 12.This permit must be finaled in order to close out this permit/grant a Certificate of ccupancy. Request a final inspection online by <br /> selecting PW 22-Site Final within the Online Permitting Portal Inspection Requests whe. items have been completed for this permit. <br /> ZMPublic Works Permit Fee Breakdown: A 1 <br /> Driveway/Concrete Apron(2) $90.00 <br /> Paving (12,381SF) $61.91 2 2kyt <br /> Erosion Control $200.00 MAy APR 2 6 2019 ,91 <br /> Grade/Fill/Excavate(100CY) $50.00 SETT <br /> PW Plan Review $246.05 �F EVE <br /> PW Site Inspection $492.09 CITYery`ces CITY OF EVERETT <br /> perm S 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 /> /`3/�,� 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 /> ep1ace p lic property clam.!-. -. . J <br /> FINAL INSPECTION Date <br /> 26t <br /> Approved as Constructed (PW Inspector) Si ature of ApP cant 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 /> 1 FILE ca?Id <br />