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i <br />EVERETT <br />WASHINGTON <br />PUBLICOVORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2"d Floor <br />Everett, WA 98201 <br />425-257-8810 <br />*Date Applied: 10/1/2019 <br />Public Works Permit #: PW1910-003 <br />Associated Bldg Permit #: <br />Planning Reference #: <br />Public Works Fee: <br />B 1910-003 <br />$1,263.60 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: UZQ <br />EVERETT SCHOOL DIST 2 <br />HAM ZACH <br />4730 COLBY AVE <br />EVERETT, WA, 98203 <br />PHONE: <br />PHONE: 4252593161 <br />TAX PARCEL ID #: 28050700301100 <br />SITE ADDRESS: 801 E CASINO RD <br />DESCRIPTION: SITEWORK FOR (4) NEW PORTABLES -CASCADE HIGH <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 approved by the City of Everett Public Works Department dated 11/07/2019. Approved plans <br />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. Flyers are provided at permit issuance with instructions on how to request an inspection online. <br />6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon completion of <br />the project prior to final approval of the permit. <br />7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />8. Protect all existing underground utilities during construction. <br />9. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed <br />on -site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the <br />improvements located therein. <br />10. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by <br />selecting PW 24-Site Final within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br />11. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires <br />use of the right-of-way for municipal purposes. <br />Public Works Permit Fee Breakdown: <br />Erosion Control........................................................$50.00 �J <br />Paving(1,OOOSF)....................................................$45.00 JAN 2 2 2020 <br />PW Plan Review ....................................... ............ $20.00 <br />PW Site Inspection...............................................$20.00 CIR401ft <br />Stormwater System Development Fee $1,128.60 <br />.......... <br />seerVrERETT <br />City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDI71S&S <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />// <br />�(1y71 Zp/9 causes of action that may arise because of installation and maintenance of <br />Approved for Construction (Public Works) Date the improvement or other right-of-way use here to applied for and further <br />agrees to remove same upon notice from the City and to replace public <br />property damaged thereby. <br />"122 <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) Signature d6pplicant 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 COMPLETION. THIS PERMIT MAYBE 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 />