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PUBLIC FORKS PERMIT Sate Applied: 6/10/2020 <br /> City of Everett Permit Services Public Works Permit#: PW2006-015 <br /> EVERETT 3200 Cedar Street, 2 Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: SS19-010 <br /> WASHINGTON 425-257-8810 Public Works Fee: $2,255.43 <br /> Conditions Continued from Previous Page... <br /> 15.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 when all items have been <br /> completed for this permit. <br /> Public Works Permit Fee Breakdown: <br /> Driveway Apron (Residential) $25.00 <br /> Paving(3,600SF) $45.00 <br /> Erosion Control $100.00 <br /> Grade/Fill/Excavate(490CY) $130.00 <br /> PW Plan Review $335.85 <br /> PW Site Inspection $671.70 <br /> Stormwater System Development Fee $947.88 <br /> 11 3 (LB E <br /> APR 01 2021 <br /> CITY OF EVERETT <br /> Permit Services <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 /> CC 122 ZOZI 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 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 /> 6-Lae—, CCS (X/2_ <br />