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4* <br /> COUNTY ROAD Snohomish County <br /> RIGHT-OF-WAY USE UTILITY PERMIT APPLICATION Planning and Development Services <br /> M/S 604 <br /> 3000 Rockefeller Avenue <br /> Everett,WA 98201 <br /> (425)388-3385 <br /> Utility Name City of Everett Date 02/08/2019 <br /> Mailing Address 3200 Cedar Street City Everett Zip 98201 <br /> Contact Person Grant Moen Phone No. 425-257-8947 <br /> Sec. 17 Township 5 Range 28 Utility Work Order No. <br /> Job Location 9300 31st Avenue SE <br /> Project Name and County Tracking No. Evergreen View Estates PRD/PFN 1 8-1 1 5583 LDA <br /> SCC 30.63A.200(2) Utilities applying for a major utility construction permit shall propose erosion and sedimentation <br /> control best management practices(BMP's)for the utility construction at the time of application. <br /> RIGHT-OF-WAY USE PERMIT IS REQUESTED FOR THE FOLLOWING: <br /> Description of Use: <br /> Installation of 145LF-8"PVC sanitary sewer and 3OLF-8" D.I. water main within County ROW to <br /> support new development within County. <br /> COUNTY USE ONLY <br /> APPLICATION FEE <br /> UTILITY PROVIDES INFORMATION BELOW (IF APPLICABLE) PERMIT FEE <br /> LINEAL FEET X.35 <br /> LINEAL FEET X 1.00 <br /> ROAD SHOULDER CUT L.F. LINEAL FEET X <br /> ROAD ASPHALT/CONC CUT 175 L.F. <br /> SWPPP FEE 375.00 <br /> PLOWED CABLE IN ROAD L.F. <br /> TECH FEE(3%SCC30.86.030) <br /> ESA Yes No <br /> TOTAL: <br /> yes no <br /> 0 A Is the proposed construction located within a critical area(wetland)as defined by SCC30.62A? <br /> X 0 All construction is subject to a Stormwater Pollution Prevention Plan(SWPPP)and applicable fees per SCC30.63A Drainage <br /> NO WORK OR ACTIVITY SHALL BEGIN WITHIN THE PUBLIC RIGHT-OF-WAY <br /> UNTIL A PERMIT HAS BEEN GRANTED BY SNOHOMISH COUNTY. <br /> I will accept a permit subject to the terms and conditions of Title 13 as herein set forth. <br /> _;_ L\ ' 2/E/aOI `1 <br /> Signature Date <br /> COUNTY USE ONLY <br /> TRACKING NO. INSPECTOR <br /> S:DRC\ROW\WP\UTILITIES\UTILAPPL REVISED Oct.2010. APPLICANT TO KEEP COPY OF APPLICATION APPLICANT SUBMIT 2 COPIES OF APPLICATION AND PLANS TO SNO CO <br />