9900 19TH AVE SE WINCO FOODS 2025-03-27

PUBLIC WORKS PERMIT Date Applied: 9/15/2022 City Of Everett Permit Services Public Works Permit N: PW2209.010 3200 Cedar Street, 2"°Floor Associated Bldg Permit N: E V E R E T T Everett, WA 98201 Planning Reference N: WASH NGTON everettwa.eov/permits Public Works Fee: $65.00 Permitservicesgeverettwa.eov schedule mspectlons at; ommesermits.everettwagov OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: WINCO FOODS, LUC BRANDONJOHNSON PO BOX 5756 BOISE, ID 83705 PHONE: 20N591993 PHONE: 3602696346 SITE ADDRESS: 990019TN AW SE TAX PARCEL ID in 28051800d05000 THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES DESCRIPTION: MODIFY POND OVERFLOW/UPPER POND BERM -AT WINCO NOTES: INSTALL BACKWATER VALVE IN EXISTING STORMWATER CONVEYANCE SYSTEM PERMOCONDITIONS: 1. All Inspections shall be scheduled online at httos://ondner ermits.everettwa.Rov. Available inspection dates are shown in the dropdown 2.eAll work shall be performed in accordance with the permit and current City of Everett 'Design and Construction Standards and Specifications for Development. 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. d. Site Civil Work to be done per plans and report approved by the City of Everett Public Works Department dated 01/19/2023. Approved plans must remain on lob -site at all times. 5. Inspections are required for all stages of construction. Visit he Cil Online Permitting Portal at onlinepennits.everettwa.gov to formally request all required inspections. A handout is provided at permit issuance with instructions on haw to request an inspection online. 6. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/or as directed by the City PW Inspector. >. Prior to any interruption to the public right -of way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained from the City's Traffic Engineering Division. This permit can be applied for online at onlinepermits.everettwa gov and requires a traffic control plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of application. 8. As-builts of storm system will be required to be submitted to the PW Inspector per City Design and Construction Standards and Specifications for Development prior to final approval/close out of the permit. 9. Prior to permit closeout Provide an operations and maintenance manual for the WinCo drainage system to include pump design information and operating instructions as well as any necessary requirements for operating and maintaining the ponds and conveyance systems. 10. This permit must be finaled in order to close out this permit. Request a final Inspection online by selecting PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests when all Items have been completed for this permit. Public Works permB Fare Breakdown: Mist. Drainage Work.................$25A0 PW Plan Review ........................$20.00 PW Site Inspection....................$20.W ACKNOWLEDGEMENT OF CONDITIONS By purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save harmless the Cliff of Everett from airy and all claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right- of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public Property, damaged thereby. VALIDITY/UPIRATION: 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 canceled by the city upon any stoppage of work an this project over 1804ay duration. Each inspection extends the expiration date 180 days to keep the Permft open while work is active. Page 1 of 1 _APPLICANT/IOa SRE COPY _ADDRESS FILE _TRUSURm