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PUBLIC WORKS PERMIT <br />DateApplled: <br />7/15/2022 <br />City of Everett Permit Services <br />Public Works Permit N: <br />PW220-011 <br />EVERETT <br />3200 Cedar street, 2"c Floor <br />Everett, WA 98201 <br />Associated Bldg Permit N: <br />Planning Reference N: <br />WAAHINRTON <br />425-257-8810 <br />Public Works Fee: <br />$115.00 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />CITY OF EVERETT <br />BRAD CHENOW ETH <br />3200 CEDAR SIT <br />EVERETT, WA, 98201 <br />PHONE: <br />PHONE: 4253083939 <br />TAK PARCEL ID A: 28051900402300 <br />SITE ADDRESS: 11405 SILVER TAKE RD <br />DESCRIPTION: REPLACED HARD SURFACE AREA -SILVER IAKE PARK PLAYGROUND <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMOCONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall t e performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications <br />for Development'. <br />S. Call Location Underground Service 48 boom before you dig. The day you 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 jobsiteat <br />all times. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at pwAverettwa.say to formally request all <br />required inspections. A handout is provided at permit issuance with instru ftion5 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 and the approved <br />SW PPP/fESC Plan. Remove upon completion of the project prior to final approval of the permit. <br />7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />B. Protect all exirting 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 responsibilhyto ensure that stormwater runoff from new/replaced impervious surfaces will be managed on - <br />site in 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.evereltwa.gov and requires a traffic control plan to be <br />submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of application. <br />12. This Permit must be finaled in order to dose 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 />Public Works Permit Fee Breakdown: <br />Erosion Control................................................$50.w <br />Misc. Minor Permits (Drainage Work).............$35.00 <br />PW Plan Review...............................................$20.00 <br />Per Site Inspection..........................................$20FW <br />Cry of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing this permit and commencing work, the owner hopfiant <br />hereby agrees to hold and save harmless the City of Everett from airy <br />and all claims for damages, vests, expenses, or causes of action that <br />may arise because Of Installation and maintenance of the <br />07/15/2022 Improvement or other rigor-calway use here to applied far and further <br />agrees to remove same upon notice from me City and to replace <br />Approved far Construction, Public Works Dept. Date public property damaged thereby. <br />� AUFFINORIZED A TH IS PERMIT MUST as STARTED WITHIN 1W DAN OF DATE PERMIT IS PUBLAIDAND THEREAFTER 0 TO BE DIL*E�y PURSAID TO COMPLETON. THIS PEW IT MAYBE ANCELLED A THE <br />AT UPON MY STORAGE OF WARK ON TFIS PROJECTOVER �y DURATIONT � INSP�M NUANDS THE EXPIRATION DATE AD me TO KEEP THE PERIA IT OPEN WHILIEWARK IS ALI <br />_APPLIGNT/IDa SDE COPY _MK URER _AUDI FILE <br />