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'UBLIORKS PERMIT <br />Date Applied: <br />7/30/2018 <br />City of Everett Permit Services <br />Public Works Permit #: <br />PW1807-046 <br />3200 Cedar Street, 2nd Floor Associated Bldg Permit #: <br />Everett, WA 98201 <br />Planning Reference #: <br />SEPA18-005 <br />(425) 267-8810 <br />Public Works Fee: <br />$925.00 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />INTERWEST CONSTRUCTION INC <br />INTERWEST CON RUCTION INC <br />609 NORTH HILL BLVD <br />609 NORTH HILL LVD <br />BURLINGTON, WA, 98233 <br />BURLINGTON, A, 98233 <br />PHONE:3608999628 <br />PHONE:360 99628 <br />TAX PARCEL ID #: 29052100201000 <br />SITE ADD ESS: 2320 RAILWAY AVE <br />DESCRIPTION: FILL AND GRADING AT PROPOSED CONTRACTORYARD-ICI <br />THIS PERMIT TO BE POSTED ONJOB OB 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 an urrent City of Everett'Design and Construction Standards <br />and Specifications for Development'. <br />3. Call Location Underground Service 48 hours b re you d' . The day you call does not count. TOLL FREE NUMBER 811. <br />4. Site Civil Work to be done per plans and drains re o pproved by the City of Everett Public Works Department dated <br />3/29/2019. Approved plans must remain on job -site es. <br />5. It is the applicant/contractor's respopsibility en r coverage under Ecology's Construction Stormwater General Permit <br />is obtained and maintatined throughout the en re c n ruction duration. <br />6. Inspections are required for all stages of o u on. Visit the City's Online Permitting Portal at pw.everettwa.gov to <br />formally request all required inspections. FI s provided at permit issuance with instructions on how to request an <br />inspection online. <br />7.Only vehicles required for the construct o is fill and grade permit will be permitted onsite during the duzetiorr'�bis <br />permit. Vehicle storage other tha a c ssary for the construction of the scope within this-perftTt'-is =5§iderad <br />business practices and will not b e mi ntil the associated construction permit is ap ye(�apdi-. completed for the <br />creation of the construction yard. us' ss activities can occur until all permits have bed issued ghffolon ttuction to <br />r .> ,i', �.-, r., <br />completion to create the full site impr e ents required. cr.) ----12 �- r=r <br />8. Concrete crushing/fill processing is n permitted onsite under the scope of this permit. All equipment assoiAted.,w �i this <br />work shall be removed from the site if resent at an time until the appropriate ermits have been issued to &mit * ` -se <br />Yp p t�: <br />and presence on the site including a roved noise studies and mitigation measures installed. <br />9. Fill material shall match that spe fied on the plans and in the SEPA Checklist.a <br />10. Obtain a Temporary Construc on Easement from City of Everett Real Property prior to removal on City of Everett"c <br />b - <br />property. 41, <br />11. This permit must be finaled n order to close out this permit/grant a Certificate of Occu�i�r.Y;eWt,:�a final inspection <br />online by selecting PW-Site F' al within the Online Permitting Portal Inspection Requests i0�:'all,jfe Yaave been.,,' <br />completed for this permit. <br />Public Works Permit Fe Breakdown: -� <br />....................$200.00 <br />Erosion Control.........../,�03CY) <br />Grade/Fill/Excavate (4 .............$685.00 APR 01 2019 <br />PW Plan Review.......................................$20.00 <br />PW Site Inspection....................................$20.00 CITY OF EVEIRETT <br />City of Everett Official Use Only ACKNOWLEDGEMENT OF CBf Mffi8*rVICe$ <br />The undersigned owner/applicant hereby agrees to hold and save <br />harmless the City of Everett from any and all claims for damages, costs, <br />expenses, or causes of action that may arise because of installation and <br />maintenance of the improvement or other right-of-way use here to applied <br />Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br />replace public rty damaged thereby. <br />�r r� <br />FINAL INSPECTION Date <br />Approved as Constructed (PW Inspector) of Ap , c t 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 <br />COMPLEfEION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />F/LIC <br />