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PUBLIC WORKS PERMIT <br />Date Applied: <br />3/15/2023 <br />City of Everett Permit Services <br />Public Works Permit#: <br />13111/2303�008 <br />E V E R E T T <br />3200 Cedar Street, 2n0 Floor <br />Everett, WA 98201 <br />Associated Bldg Permit#: <br />Planning Reference <br />!t: <br />WASHINGTON <br />everettwa.eov/permits <br />Public Works Fee: <br />$200.15 <br />PermitServices0eve rettwa.gov <br />Schedule lnspecrions at: <br />onlinemannats everetmomv <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CAN NONYMOUS REVOCABLE LIVING TRUST MICHELLE WESTFORD <br />5811 COLBY AVE <br />EVERETT, WA 98203 <br />PHONE: PHONE: 4253505334 <br />SITE ADDRESS: 424 WOOD PL TM PARCEL ID #: OOS36400000S00 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: ADD 430 SDFT OF ASPHALT TO EXTG DRIVEWAY TO ABATE CE23-0013 <br />NOTES: <br />PERMITCONORIONS: <br />1. All inspections shall be scheduled online at Was //onlinepermits.evereUwa.gov, Available inspection dares are shown in the dropdowo <br />2.eAll work shall be performed In accordance with the permit and current City of Everett'Design and Construction Standards and Specifications <br />for Development. <br />3. Call Location Underground Service 48 hours before you dig. The all 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 job -site at <br />all times. <br />5. Inspections are required for all stages of construction. Visit the Cites Online Permitting Portal at anlinepermits.everettwa.gov to formally <br />request all required inspections. <br />6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector. <br />2. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />8. Protect all existing underground utilities during construction. <br />9. Driveway width shall not exceed 30 feet wthin the 20 foot setback from the property line per EMC 19.34.11OCA. <br />10. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced Per City Standards and/or as directed by the City PW <br />Inspector. <br />11. It is the applicant/owner's responsibility to ensure that sumnow rter runoff from new/replaced impervious surfaces will be managed om <br />site in a manner that does not adversely affect neighboring properties, including the City'a right-of-way and/or easements and the <br />Improvements located therein. <br />12. 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 <br />Out within the Online Permitting Portal Inspection Requests for this Permit when all Items have been completed. <br />Paving(4305F).....................................................$45.00 <br />PW Plan Raview........................................................$30.00 <br />PW Site Inspection............ ........................................ $20.00 <br />Stormwater System Development Fee (4305F)..$115.15 <br />By purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save harmless the CM of Everett from any and 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 />VALIDITY/EXPIRATION: <br />Work authorized by this permit must be started within 180 do" of date permit is issued and thereafter is to he diligently pursued to completion. This <br />permit may be canceled by the city upon any stoppage of work on this project over 180-0ay duration. Each Inspection extends the expiation date <br />USA days to keep the permit open while work is active. <br />Page 1 of 1 <br />_APPUCANTpoe SIR COPY _ADDM;S D¢ _TREASURER <br />