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PUBLIC WORKS PERMIT Date Applied: 7/27/2D22 <br />Ciry of Everen Permi[servicez Public Works Permit N: PW2207-019 <br />3200 Cedar Street, 2nd Floor Associated Bldg Permit It:E V E R E T T <br />Everett, WA 98201 Planning Reference#: <br />WASRINGTON 425-257-8810 Public Works Fee: $165.34 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />FORCE SHANNON/MCGOWAN RYAN <br />RYAN MCGOWAN <br />2928VIRGINIAAVE <br />EVERETT, WA, 98201 <br />PHONE: <br />PHONE: 2017053574 <br />TAK PARCEL IDN:00438438601900 <br />SITE ADDRESS: 1928 VIRGINIA AVE <br />DESCRIPTION: REPLACE SIDEWALK IN FRONT OF SIR <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 Specifications <br />Fair 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 plans approved by the City of Everett Public Works Department Approved plans must remain on Iob-site at <br />Initiates. <br />S. Inspections are required for all stages of construction. Visit the figs Online Permitting Portal at pw.everettwa.govto formally request all <br />required inspections. A handout is provided at permit issuance with instructions an how to request an inspection online. <br />6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector and the approved <br />SWPPP/TESC Plan. Remove upon completion of the project priorto final approval of the permit. <br />7. Keep City streets clean at all times. No dirt, mud, racks, or debris to be tracked onto road". <br />8. Protect all existing underground utilities during construction. <br />9. Any damage to Cry improvements Isidewalk, curb, roadway, el shall be replaced per City Standards and/or as directed by the City PW <br />Inspector. <br />10. It is the applicant/owner's responsibility to ensure that stonnwaler runoff from new/replaced impervious surfaces will be managed on - <br />she in a manner that does not adversely affect neighboring properties, including the Ciry's right-of-way and/or easements and the <br />Improvements looted therein. <br />11. Prior to any Interruption to the public rigMof-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained <br />from the City's Traffic Engineering Division. This permit San be applied for online at pw.everettwa.gov and requires a traffic control plan to be <br />submitted for the area of requested closure. Pleace allow 1-2 weeks for TSU permit issuance from the date of application. <br />12. This permit must M finaled in Omer 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 for this permit when all items have been <br />completed. <br />13. All work constructed within the public right-of-way must be removed or relocated at the owner's expense It the City ever requires use of <br />the rightof-way for municipal purposes. <br />Public Works Permit Fee Breakdown: <br />Paving(300 SF)--..........................................$45.00 <br />PW Plan Review.............................................$20.00 <br />PW Site Inspection.........................................$20.00 <br />Stormwater System Development Fee ... ........ $80.34 <br />Cry ofEMRLt Df/kinf Use Gary ACKNOWLEDGEMENT OF CONDITIONS <br />By yurchTrust is permit and mmmencingwork, the owner/applkant <br />hereby agrees to hold and Save harmless the City of Everett from any <br />and all claims for damages, costa, expenses, or causes of anion that <br />may adse because ofinstallation and maintenance of me <br />/gl4Nl�Q flyAplga( Q]l�l ,Q Improvemem or other right-of-way one here to applied (nand PoNM1Gr <br />agrees to remove same upecn nmlce from the Ory and to replace <br />Approved for Construction, Public Works Dept. Date PENN property damaged thereby. <br />�WA�R�Off�ISKWRMMUn�EOWUHN IN DAYSOF DATEPERVIT IS MUST AND THEREAFTER ISM BE DIMENTEPURSUED TO CONFETTI IS PERMIT SAY BE CANKELLED BY ME <br />ITT With! ANY STEMANE OF WOW ON SET FISEBECTOESAM IN My OURAMIN NOT INESECTION EXTIONS THE EXPAUTON DATE IN MYSTO FEE SHE PIESPAT MEN WENT WOW IS ACTINE <br />_APPLK /MBSIn W" _TREASURER _ADgLESS RUE <br />