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PUBLIC WORKS PERMIT Date Applied: 12/30/2022 <br />City of Everett Permit Services <br />Public Works Permit N: PW22124KIR <br />3200 Cedar Street, 2^°Floor Associated Permit III: TU52212A30 <br />E V E R E T T Everett, WA 98201 Planning Reference N: <br />WASH NGTON everettwa.eov/permits Public Works Fee: $65.00 <br />Permitservicesgeverettwa.eov schedule Inspections at; onlloeoermits.everetsa.¢ov <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />BRIAN BODGE BRIAN BODGE <br />52361ST ST SE 52361ST ST SE <br />EVERETT, WA 98203 EVERETT, WA 98203 <br />PHONE: 4258793437 PHONE: 42581 <br />SITE ADDRESS: 2712 HEWITT AVE TM PARCEL ID B: 005936ONOSI0D <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: Close 25-of sidewalk, TEMP FENCE IN ROW <br />PERMRCONDNIONS: <br />1. All instructions shall be scheduled online at hftos://onlineoermits.everettwa.¢ov. Available inspection dates are shown in the dropdown <br />menu. <br />2. All 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 day you call does not Count. TOLL FREE NUMBER 811. <br />4. Prior to any Interruption to the public right-of-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be <br />obtained from the City's Traffic Engineering Division. This permit can be applied for online at onlinepennits.everettwegrov and <br />requires a traffic control plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSD Permit issuance from <br />the date of application. <br />5. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of Everett. <br />6. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at onlinepermits.everettwa.govta <br />Formally request all required inspections. Flyers are provided at Permit issuance with instructions on how to request an inspection <br />onlirl Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/or as directed by <br />the City PW Inspector. <br />T. All existing underground utilities must be located and protected throughout the duration of project if any cuts are anticipated. <br />B. It is the owner/applicant's responsibility to ensure the safety of pedestrians and workers is maintained and any damage to <br />surrounding structures, vehicles, etc. associated with the Scope of this permit is the sole responsibility of the owner/applicant The <br />City makes no claim to the reliability Of the scaffolding structure being erected. <br />9. This permit must he finaled in order to close out this permit. Request a final inspection online by selecting PW 25-Site Final/Permit <br />Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br />Public Works Permit Fee Breakdown: <br />Mist. Minor Permits (Scaffolding in ROW f. $25.00 <br />PW Plan Review...........................................$20.00 <br />PW Site Inspection- ................................. — $201 <br />By Purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save harmless the City W Everett from any and all <br />claims for damages, cogs, 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 />VAUDM/EXPIIIATION: <br />Work authorized by this Permit must be started within 180 days of time permit is issued and thereafter is to be diligently pursued to completion. This <br />permit may be canceled by the city upon any stoppage W work on this project over Ulmday duration. Each inspection extends the expiration date <br />IN days to keep the permit open while work is active. <br />Page 1 of 1 <br />_APPLICANT/IOa SITE COPY _ADDRESS FILE _TREASURER <br />