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PUBLIC WORKS PERMIT Date Applied: 4/7/2021 <br /> City of Everett Permit Services Public Works Permit#: PW2104-019 <br /> EVERETT 3200 Cedar Street, 2 Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Plan ling Reference#: <br /> WASHINGTON 425-257-8810 •ublic Works Fee: $0 <br /> OWNER NAME AND ADDRESS: APPLICAN AME AND ADDRESS: <br /> BECKER LIVING TRUST TED :'CKER <br /> 5213 23RD AVE W <br /> EVERETT,WA, <br /> PHONE: , PHONE:4257546124 <br /> TAX PARCEL ID#:00734800002400 I \'' SITE ADDRESS:5213 23RD AVE W <br /> DESCRIPTION:REFUNDED-REMOVE INDUSTRI L 1:).).4. ' CURB AND REPLACE <br /> THIS OR 4e E POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made ,4,'ours in advance. <br /> 2. All work shall be performed in accor.. ce with the permit and current City of Everett'Design and Construction Standards and <br /> Specifications for Development'. <br /> 3. Call Location Underground Servic: 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 p; ns approved by the City of Everett Public Works Department dated 4/7/2021.Approved plans <br /> must remain on job-site at all ti ;=s. <br /> 5. Inspections are required forIl stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally <br /> request all required inspectio s.A handout is provided at permit issuance with instructions on how to request an inspection online. <br /> 6. Install and maintain ero;on control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon completion of <br /> the project prior to final .•proval of the permit. <br /> 7. Keep City streets cle. at all times. No dirt,mud,rocks,or debris to be tracked onto roadway. <br /> 8. Protect all existin: nderground utilities during construction. <br /> 9. Any damage to -ity improvements(sidewalk,curb, roadway,etc.)shall be replaced per City Standards and/or as directed by the <br /> City PW Inspector. <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties,including the City's right-of-way and/or easements <br /> and the improvements located therein. <br /> 11. Prior to any interruption to the public right-of-way(roadways,parking lanes,or sidewalks)a Traffic Street Use permit shall be <br /> obtained from the City's Traffic Engineering Division.This permit can be applied for online at pw.everettwa.gov and requires a traffic <br /> control plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of <br /> application. <br /> 12.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 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items <br /> have been completed. <br /> 13. 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 /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> Public works Permit FeeBreakdown: The undersigned owner/applicant hereby agrees to hold and save harmless <br /> Paving(235SF) $45.00 the City of Everett from any and all claims for damages,costs,expenses,or <br /> PW Plan Review $20.00 causes of action that may arise because of installation and maintenance of <br /> P4049 iistruction•(.p.u.mrc.werrkA20.00 Date the improvement or other right-of-way use here to applied for and further <br /> Stormwater System Development Fee $61.88 agrees to remove same upon notice from the City and to replace public <br /> property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature of Applicant 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 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 />