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PUBLIC WORKS PERMIT Date Applied: 9/13/2021 <br />City of Everett Permit Services Public:arks Permit N: P:2109,024 <br />3200 Cedar Street, 2-' Floor Associated Bltlg Permit X: <br />EVERETT <br />Everett, WA 98201 Planning Reference N: <br />WASHINGTON 425-257-8810 Public Works Fee: $119.22 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />POUND STEVEN M & DENISE <br />DAN HATCH <br />1431 WETMORE AVE <br />EVERETT, WA, 98201 <br />PHONE: 4252805890 <br />PHONE: 2539512014 <br />TAX PARCEL ID N: 00415329101502 <br />SITE ADDRESS: 1431 W ETMORE AVE <br />DESCRIPTION: SMALL REMEDIAL EXCAVATION <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMDCONOMONS: <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall he performed in accordance with the permit and current City of Everett'Uesign and Construction Standards and Specifications <br />for Developmem'. <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 CINI Work to be done per plans approved by the City of Everett Public Works Department. Approved plans must remain on jobsiteat <br />alltimes. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at pw.everettwa.gov to formally request all <br />required Inspections. A handout Is provided at permitissuancewith instructions on 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 or the approved <br />SWPPP/TESC Plan. Remove upon completion of the project prior to final approval of the permit. <br />L 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. 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 />10. It is the applicant/owner's responsibiliryto ensure that stormwater runoff from new/replaced impervious surfaces will be managed on - <br />skein a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the <br />Improvements located therein. <br />11. Prior to any interruption to the public right-of-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 pw.everettwa.gov and requires a traffic control plan to be <br />submitted for the area of requested closure. Please allow 1-2 weeks for TSV permit Issuance from the date of application. <br />12. This permit must be 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 if the City ever requires use of <br />the right-of-way for municipal purposes. <br />Public Works Permit Fee Breakdown: <br />Grade/Fill/Excavate(10I ........................25.00 <br />Paving (355F1.......................................... $45.00 <br />PW Plan Review.......................................520.00 <br />PW Site Inspection...................................$20.00 <br />$tormwaler System Development Fee ...... $9.22 <br />City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing MIs Permit and commencing work the owner/applicant <br />hereby agrees to hold and save harmless the cayof Everett Rom any <br />and all claims for damages, costs, expenses, or causes of action that <br />may arise because ofinstallationand the <br />e here to apof <br />fa <br />09N3/97P1 Improvement or usehere toappinedfarand fur�er <br />agrees to remove same upon notice from [M1e City and to replace <br />sam upon notic <br />Approved for Construction, Public Works Dept. Date public proPeNy damaged thereby. <br />