7601 EVERGREEN WAY SAFEWAY FUEL STATION 2023-09-11

PUBLIC WORKS PERMIT Date Applied: 5/16/2023 City of Everett Permit Services Public Works Permit If: PW2305-010 3200 Cedar Street, 2.d Floor Associated Bldg Permit#: EVERETTEverett, WA 98201 Planning Reference#: everettwa.Rov/permits Public Works Fee: $985.83 WASHINGTON Perm it5e ryices0eyerettwa. gay Schedule Inspections at onllneoermits.everettwa.eov OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: COLUMBIA CASCADE PUCEN LLC JOE MYERS PO BOX 790830 SAN ANTONIO, TX 28279-0830 PHONE: PHONE: 5094827D16 SITE ADDRESS: 7601 EVERGREEN WAY TAX PARCEL ID#: 2WSO700306100 THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES DESCRIPTION: REMOVE, REPLACE CONCRETE/ASPHALT FOR SAFEWAY FUEL REPIPING NOTES: PERMITCONDITIONS: 1. All inspections shall be scheduled online at hope//onllneoermioeverettwa.tow. Available inspection antes are shown in the droodown menu. 2. All work shall be performed in accordance with the permit and current Cry of Everett 'Design and Construction Standards and SpedBcatlonz for Development. 3. Can Location Underground Service 48 hours before You dig The day You call does not count. TOLL FREE NUMBER 811, 4. Site Clml Work to he done per plans approved by the Cltyof Everett Public Works Department. Approved plans must remain onjolsato at all times. S. listeners are required for all stages of consf ection. Visit the CHWs Online Permitting Portal at onlinepermits.everettiva.gov to formally request all required inspections. 6. Install and maintain erasion control measures per Clty of Everett Standards and per the direction of the PW Inspector and the approved SWPPP/TESC Plan. Remove upon completion of the project prince final approval of the Pirmlt. T. Keep Citystreets clean at all times. No din, mud, rocks, or debris to he tracked onto roadway. 8. Protect all existing underground utilities during construction. 9. Any damageto Oty Improvements (sidewalk, curb, roadway, ee.) shall be replaced per City Standards and/or as directed bythe City PW Inspector. 30. It latheapplicant/owners responsibllityto ensure that Remainder mnoNfrom new/replaced impervious surfaces will be managed on -site in manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the improvements located therein. 11. Priore any interruption to the public right-of-way(roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall Be obtained from the City's Traffic Engineering Division. This permit can he applied for online at onlinepermbreverettwa.gov, and requires a trafficcontrol plan to be submitted for the area of requested closure. Please allow 1-2 weeks formal permit Issuance from the date of application. 12. Request a final Inspection online by selecting PW 25 Site Final/Permit Close Outwtthin the Online Permitting Portal Inspection Requests for this permit when all items have been completed. PERMIT FEE BREAKDOWN Erosion Control..............................................................$201 Paving (2617 SF)...............................................................$65.00 PW Plan Review...............................................................$2DW PW Site Inspection...........................................................$20.0o Stormwater System Development Fee (2617 SF) .......... $700.83 ACKNOWLEDGEMENT OF CONDITIONS By purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of Installation and maintenance of the Improvement or other right-of-way man here to applied for and further agrees to remove same upon notice term the City and to replace public property damaged thereby. VALIDITY/EXPIRATION: Work authorized by this permit must he started within 190 der of date permit is issued and thereafter is to be diligently pursued to completion. This permit may be canceled by the city upon any stoppage of work on this project over Legal duration. Each Inspection extends the expiration date 19D days to keep the permit open while work is active. Page 1 of 1 _APPLICANT/IOB SRE COPY _ADDRESS FILE _TREASURER