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EVERETT <br />WASHINGTON <br />PUBLI®WORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2nd Floor <br />Everett, WA 98201 <br />425-257-8810 <br />0 Date Applied: 1/29/2020 <br />Public Works Permit #: PW2001-045 <br />Associated Bldg Permit #: <br />Planning Reference #: <br />Public Works Fee: $320.00 <br />^ n r-r n nnnn <br />OWNER NAME AND ADDRESS: <br />PLICANT NAME AND ADDRESS: <br />NO FINAL., <br />3402 COLBY LLC APPROVAL <br />M ANDERSON <br />MOUNTLAKE TERRACE, WA, 98043 DEC 02 2021 <br />NT AKE TERRACE, WA, 98043 <br />PHONE: 2069485308 <br />ONE: 2069485308 <br />TAX PARCEL ID #: 0043698230310 <br />E ADDRESS: 3402 COLBY AVE <br />DESCRIPTION: EXCAVATE 990CY AND EXPORT OFF -SITE. NOTICE BOARDS REQUIRED TO BE POSTED ON -SITE DURING CONSTRUCTION. <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 scope approved by the City of Everett Public Works Department dated 1/29/2020. <br />5. This permit granted for under 1000CY of excavation. SEPA is required at 1000CY. Contact the Planning Division for any Land Use <br />Permit needs. <br />6. 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. An Inspection Handout is provided at permit issuance with instructions on how to regL! ' t ar)°°'i W ' <br />inspection online. <br />7. Install and maintain erosion control measures per City of Everett Standards and approve d'�11,r M-/Pra� E riiBNWuport-completion of <br />the project prior to final approval of the permit. <br />8. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />9. Protect all existing underground utilities (to remain) during construction. <br />10. All excavated material shall be hauled to an approved, permitted site. ' =? <br />11. Contact the Traffic Engineering Department as needed for Street Use Permits and any requi dd Oversize Load Permits at 425_,�57- <br />8810 (press Option 7 for Traffic). <br />12. This permit must be finaled in order to close out this permit. Request a final inspection onlifby selecting PW-Site Final with the <br />Online Permitting Portal Inspection Requests when all items have been completed for this p4plt.—]r r. .5 '4-a•t�fTi ' <br />Public Works Permit Fee Breakdown: r4i t" <br />Erosion Control.......................................$50.00 <br />Grade/Fill/Excavate (990CY).................$230.00 <br />PW Plan Review......................................$20.00 <br />PW Site Inspection..................................$20.00 <br />City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <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 />JL ki A/ L1, LWW causes of action that may arise because of installation and maintenance of <br />mprove t or other right-of-way use here to applied for and further <br />'21 LIOL_i�m� Approved for Construction (Public, Works) Date <br />ve same upon otice from the City and replace public <br />kagrees <br />rt da ged thereby. <br />Z.;P2 0 <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) Sig ture 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 />('LA <br />