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PUBLIC WORKS PERMIT <br />Date Applied: <br />12/1/2022 <br />City of Everett Permit Services <br />Public Works Permit#: <br />131012212�002 <br />E V E R E T T <br />3200 Cedar Street, 2" Floor <br />Everett, WA 98201 <br />Associated Bldg Permit #: <br />Planning Reference M <br />#: <br />WASHINGTON <br />everettwa.gov/permits <br />Public Works Fee: <br />$85.00 <br />Permit5ervices0everettwa.eov <br />Schedule Inspections at Doineoermimeverettwa.m <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />APEX COMPANIES LLC APEX COMPANIES LLC <br />801 NW 42nd Str 801 NW 42nd ST <br />SEATTLE, WA 98107 SEATTLE, WA 98107 <br />PHONE: 4257571452 PHONE: 4257571452 <br />SITE ADDRESS: 4821 EVERGREEN WAY TAX PARCEL ID#: <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: INSFAU.3 TEMP ENVIRO SOIL BORINGS WITHIN LANDSCAPING <br />NOTES: BETWEEN NORTH END OF CLAREMONT VILLAGE SHOPPING CENTER AND W ILMINGTON AVE. SOIL BORINGS WILL BE BACKFILLED AFTER <br />COMPLETION. ESTIMATED PROJECT TIME IS ONE DAY. SEE FIGURE ATTACHED FOR BORING LOCATIONS. PRIVATE & PUBLIC UTILITY LOCATES WILL BE <br />COMPLETED PRIOR TO WORK. NO ROAD/SIDEWALK CLOSURES OR DETOURS ARE ANTICIPATED. <br />PERMIT CONDRIONS: <br />1. All inspections shall be scheduled online at httos://onRneoermits.evererwa.gov. Available inspection dates are shown In the dropdown menu. <br />2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications for <br />Development'. <br />3. Call Location Underground Senate 48 boom before you di& The day you call doss nM count. TOLL FREE NUMBER 811. <br />4. Site Gvd Work to be done per plans approved by the Cityof Everett Public Works Department Approved plans must remain on job site at all times. <br />S. Inspections are required for all stages of combustion. visit the City's online Permitting Portal at pnlinepermRs.everetlwa.gov to formally request all <br />required inspachons. A handout is provided at permit Issuance with mstmctions on how to request an inspection online. <br />6. Install and maintain erasion [antral measures per CITY of Everett Standards and per the direction of the PW Impactor. Remove upon completion of <br />the projM prior to final approval of the perni <br />T. Keep Citystreets dean at all times. No dirt, mud, nuclei, 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 Inspector. <br />10. It is the applicant/owners responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on site in a <br />manner that doss not adversely affect neighboring propedies, including the CRY s dghtogway and/or easements and the improvements located <br />therein. <br />11. Prior W any interruption to the public right -of-way (roadways, parking lanes, or sidewalks( a Traffic Street Use permit shall he obtained from the <br />City's Traffic Engineering Division. This permit can be applied for online at onlinepermits.everettwagov and requires a traffic control plan to be <br />submitted br the area of requested closure. Please allow 1-2 weeks far TSU Permit issuance from the date of application. <br />R. This permit must he Mated In order to close out this permit/grant a Certilcate of O cupancy. Request a Mal inspection online by selecting PW 25- <br />Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been 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 the right- <br />of- way for municipal purposes. <br />Public Works Permit Fee Breakdown: <br />Paving (4SF) ..............................................545 <br />W <br />PW Plan Review _.... ... __.. _____. __. <br />_520.00 <br />PW Site lnsnettian..... ..... ............... ..... ..... <br />..520.00 <br />By purchasing this permit and commencing work, the owner/appllont hereby agrees to hold and save harmless the CITY of Ew" 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 notion from the City and to replace public property damaged thereby. <br />VALIDITY/EXPIRATION: <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 <br />permit may be cancel" by the city upon any Stoppage of work on this project over Ural duratlan. Each Inspection extends the expiration date <br />180 days to keep the permit open while work is active. <br />Page 1 of 1 <br />_APPUCANDJOB SIR COPY _Aponcss nD _TRLASURFR <br />