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PUBLICOORKS PERMIT fame Applied: 1/26/2021 <br /> City of Everett Permit Services Public Works Permit#: PWW2101-001 <br /> EVERETT 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: W2007-008 <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $115.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> KOFFLER DANIEL KOFFLER DANIEL <br /> 2825 89TH ST SE 2825 89TH ST SE <br /> EVERETT,WA,98208 EVERETT,WA,98208 <br /> PHONE:4254227267 PHONE:4254227267 <br /> TAX PARCEL ID#:00545303202400 SITE ADDRESS: 2327 73RD ST <br /> DESCRIPTION:GRADE/FILL MATERIAL TO SMOOTH OUT YARD FOR MOWING&MAINT <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 <br /> Specifications for 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 and drainage report approved by the City of Everett Public Works Department dated 2/2/2021. <br /> Approved plans must remain on job-site at all times. <br /> 5. It is the applicant/contractor's responsibility to ensure coverage under Ecology's Construction Stormwater General Permit is <br /> obtained and maintained throughout the entire construction duration. <br /> 6. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally <br /> request all required inspections.An Inspection Handout is provided at permit issuance with instructions on how to request an <br /> inspection online. <br /> 7. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon completion of <br /> the project prior to final approval of the permit. <br /> 8. Keep City streets clean at all times. No dirt, mud, rocks,or debris to be tracked onto roadway. <br /> 9. Protect all existing underground utilities(to remain)during construction. <br /> 10.All excavated material shall be hauled to an approved, permitted site. <br /> 11. Prior to any interruption to the public right-of-way(roadways, parking lanes,or sidewalks)a haul route will be required to be <br /> submitted to the City of Everett prior to permit issuance.Contact the Traffic Engineering Department for Street Use Permits and any <br /> required Oversize Load Permits at 425-257-8810(press Option 7 for Traffic). <br /> 12.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. a44, <br /> elli _� <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control $50.00 <br /> Grade/Fill/Excavate(40 CY) $25.00 Frrl 11 2021 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 T �t <br /> City of Everett Official Use Only ACKN9iiiITEq�EIGAnT E'REIRENTT <br /> By purchasing this permit anEOcirrfOritAftititige,4he 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 /> tifteco ' quay 2/2/21 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 />