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PUBLIC WORKS PERMIT Date Applied: <br />1/6/2023 <br />City of Everett Permit Services <br />Public Works Permit#: <br />PW23014H03 <br />3200 Cedar Street, 2n0 Floor <br />Associated Bldg Permit#: <br />#: <br />EVERETT <br />Everett, WA 98201 <br />Planning Reference #: <br />WASHINGTON <br />everettwa.eov/permits <br />Public Works Fee: <br />$65.00 <br />Permit Services Deverettwa.epv <br />Schedule inspections at: onlineoermimeveretmociiv <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />KINCAID JACOB & ANNA <br />KINCAID ANNA <br />910 RUCKER AVE <br />910 RUCKER AVE <br />EVERETT, WA 98201 <br />EVERETT, WA 98201 <br />PHONE: <br />PHONE: 9407813214 <br />SITE ADDRESS: 910 RUCKER AVE TAX PARCEL to #: W553217303NO <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />All Removal of tree on east side of property (near Rucker Ave) which lies in City rightaf-waR <br />PERMITCONDRIONS: <br />1. All inspections shall be scheduled online at hops://onlinepermits.evereuwa.gov, Available inspection dares are shown in the rubdown <br />2.eAll work shall be performed In accordance with the permit and current Oty of Everett'Design and Construction Standards and SpecHicatlons <br />for Development. <br />3. Call Location Underground Service 48 hours before you dig. The Pal call does not count. TOIL FREE NUMBER 811. <br />4. Site Civil Work to be done per plans approved by the Cary of Everett Public Works Department. Approved plans must remain on jab -site at <br />all times. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at onlinepermits.everettwa.gov to formally <br />request all 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 />SW PPP/TESC Plan. Remove upon completion of the project prior to final approval of the Permit. <br />J. Keep City threats clean at all times. No did, mud, rocks or debris to be tracked onto roadway. <br />S. Protect all existing underground utilities during construction. <br />9. Any damage to City improvements (sidewalk, curb, roadway, atc.) shall be replaced Per City Standards and/or as directed by the City PW <br />Inspector. <br />10. Prior to any interruption to the public rightof-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained <br />from the City's Traffic Engineering Division. This permit can be applied for online at onlinepermits.everettwa.gov and requires a traffic <br />ranging plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of application. <br />11. This permit must be finaled in order to close out this permitlgrant a Certificate of Occupants. 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 gems have been <br />completed. <br />Public Works Perm# Fee Breakdown: <br />Misc. Minor Permits (Drainage Work) ....... <br />$25.00 <br />PW Plan Review.........................................$2000 <br />PW Site Inspection......................... ............ <br />$20.00 <br />By Purchasing this permit and commencing work, the owner/appli art hereby agrees to hold and save harmless the City of Everett from amand all <br />claims for damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right- <br />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. <br />VALIDITWEXPIRATION: <br />Work authorized by this permit must be started within 180 do" of date permit is issued and thereafter is to be diligently pursued to completion. This <br />permit may be canceled by the city upon any stoppage of work on this protect wet leading duration. Each Inspection extends the expiation date <br />IRA days to keep the permit open while work is active. <br />Page 1 of 1 <br />_APPUCANDJOB RIM COPY _ADDMss B¢ _TREASURER <br />