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gm PUBLI46NORKS PERMIT • Date Applied: 12/17/2019 <br /> City of Everett Permit Services Public Works Permit#: PW1912-030 <br /> EVERETT 3200 Cedar Street, 2nd Floor Everett, WA 98201 Associated Bldg Permit#: B1912-018 <br /> Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $10,. 49-.33 (t -' 33 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SNOHOMISH CO PROP MGMT [AppName] <br /> 3000 ROCKEFELLER AVE M/S 404 [AppAdd] <br /> EVERETT,WA,98201 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> TAX PARCEL ID#:29051700102000 SITE ADDRESS:902 PINE ST <br /> DESCRIPTION:SITE WORK FOR NORTH SOUND BEHAVIORAL HEALTH TREATMENT CENTER <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 and drainage report approved by the City of Everett Public Works Department dated <br /> 5/26/2020.Approved plans/reports 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 <br /> request all required inspections.A handout is 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 <br /> be under a separate Utility Permit to be purchased at the Permit Services Counter per a cost estimate by the Water Department.Work <br /> shall be scheduled 3-4 weeks in advance. <br /> 7.An RPBA shall be installed on the domestic service feeding from the existing building to the new tenant space, under separate <br /> Plumbing Permit.Submit test reports to PW Inspector and Tim Markham with City's Cross Connection <br /> division(TMarkham@everettwa.gov). <br /> 8.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 /> 9.A Landscape Inspection is required by the Planning Department prior to final by ks Inspector.Schedule the existing <br /> Planning Landscape inspection under"My Active Inspections"in your dashboard o h a.� '; P. .I. <br /> 10.A new address has been assigned to thispermitted addition/separate tenant s ce. Please o3'4'thl`'.1 -• . d.urin construction <br /> g p g <br /> and permanently upon completion of construction in accordance with the Addres ettMM2irli • his I it. <br /> 11.This permit must be finaled in order to close out this permit/grant a Certificat f Occupan[c . '�-ifst • al inspection online by <br /> selecting PW 24-Site Final within the Online Permitting Portal Inspection RequestebRyt to ss have be- ompleted for this permit. <br /> Public Works Permit Fee Breakdown: Permit;$�1'VE es T T <br /> Paving(16,000SF) $80.00 <br /> Erosion Control $200.00 � <br /> Grade/Fill/Excavate(3,765CY) 4 $275.00)�- y� € L4 e� "`'� <br /> PW Plan Review $2,124.98 <br /> PW Site Inspection $4,249.95 <br /> Stormwater System Development Fee $4,094.40 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to hold and save harmless the City of Everett from any <br /> and all claims for damages,costs,expenses,or causes of action that <br /> ,..0qk ittfit4 <br /> �/ lf/ ` may arise because of installation and expenses, <br /> orc maintenance of the <br /> ���/��O improvement or other right-of-way use here to applied for and further <br /> l/ agrees to remove same upon notice from the City and to replace <br /> Approved for Construction, Public Works Dept. Date public property damaged thereby. <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 COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br /> i (L <br />