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EVERETT <br />WASHINGTON <br />PUBLICIIORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2"d Floor <br />Everett, WA 98201 <br />425-257-8810 <br />Mate Applied: 7/29/2020 <br />Public Mks Permit #: PW2007-042 <br />Associated Bldg Permit #: <br />Planning Reference #: <br />Public Works Fee: $65 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />WAL-MART REAL ESTATE BUSINESS TRUST <br />AMY MILES <br />2001 SE 10TH ST <br />BENTONVILLE, AR, 72716 <br />PHONE: <br />PHONE: 4798783510 <br />TAX PARCEL ID #: 28051800405600 <br />SITE ADDRESS: 1605 SE EVERETT MALL WAY <br />DESCRIPTION: RESTRIPE A PORTION OF WALMART PRKG LOT TO CREATE 12 ONLINE <br />GROCERY PICKUP PARKING STALLS <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 08/04/2020. 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. A handout is provided at permit issuance with instructions on how to request an inspection online. <br />6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />7. Protect all existing underground utilities during construction. <br />8. This permit must be finaled in order to close out this permit. Request a final inspection online by selecting PW 24-Site Final within <br />the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br />Public Works Permit Fee Breakdown: <br />Misc. Minor Permits (Parking Striping) ....... $25.00 <br />PW Plan Review.......................................$20.00 <br />PW Site Inspection....................................$20.00 <br />69 <br />OP <br />0=S <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 />may arise because of installation and maintenance of the <br />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 <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 MAYBE CANCELLED BYTHE <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 />, _, ' (f. r y <br />