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PUBLIC WORKS PERMIT <br />Date Applied: <br />4/3/2023 <br />City of Everett Permit Services <br />Public Works Permit k: <br />PW2301 <br />3200 Cedar Street, 2°v Floor <br />Associated Bldg Permitk: <br />CE-21-0760 <br />EVERETTEverett, <br />WA 98201 <br />Planning Reference N: <br />everettwa.eov/permits <br />Public Works Fee: <br />$246.58 <br />WASHINGTON <br />Perm itSeryiceskl eyerettwa.eoy <br />Schedule Inspections at: onlimmermits.evereffierew <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />ORELLANA FATIMA ORELLANA FATIMA <br />706 LEGION DR 705 LEGION DR <br />EVERETT, WA 98201-1169 WERETT, WA 98201-1169 <br />PHONE: 4153666403 PHONE: 4253666403 <br />SITE ADDRESS: 706 LEGION DR TAX PARCEL ID IF: 00E97100009700 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: FENCE IN ROW AND PATIO PAVENS <br />PERMDCONDITIONS: <br />1. All inspections shall be scheduled online at hays a/onllneoermlts.everettwa env. 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 Service 48 hours 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 an jobsite at all does. <br />5. Inspections are required for all stages of construction. Visit the CIt✓s Online Pertaining Panel at onlinepermttsaverettwAgav to formally request all <br />required inspections. <br />6. Instill and maintain erosion control measures per Glyn! Everett Standards and per the direction of the PW Inspector and the approved <br />SWPPP/TESC Plan. Remove upon completlon offie project priors final approval of the permit. <br />7. Keep City stree6dean at all times- No dirt, mud, rocks, or debris to betracked onto roadway. <br />8. Protect all existing underground utilities during construction. <br />9. Any damage to City Improvements sidewalk curb, roadway, ex.) shall be replaced per Off Standards and/or As directed by the City Par Inspector. <br />10. It is the appliranVowneh responsibility to ensure that stormwater hand from new/replaced impervious surfaces will be managed onsite in a <br />manner that does not adversely affect neighboring properties, including the City s nghtof-way and/or easements and the improvements located <br />the.em. <br />11. Prior to any interruption to the public rigi*of-way coadways, Parking lanes, or sidewall i a Traffic Street Use permit shall be obtained from the <br />Cil Traffic Engineering Division. This permit can be applied or online at onlinetram s.everettwa.gov and requires a traffic control plan to be <br />submitted for the area of requested closure. Please allow 1-2weeks for TSU pwmlt issuance from the date of application. <br />R. This permitmust be finaled in Omer to close out this permit/grant a Certifficate of Ortuiparry. Request a final inspection online by selecting PW 25- <br />She Final/Permit Close Out within the Online Permitting Fortal Inspection Requests for this permit when all items have been completed. <br />13. All work constructed within the public right -of way must M removed or relocated at the owners expense ifthe City ever requires use ofthe dght- <br />of-way for municipal purposes. <br />PERMIT FEE BREAKDOWN: <br />Paving J510 SF) ............................................................ ..... .$45.00 <br />PW Plan Review................................................................$20.00 <br />PW Site Inspection...................................................... ..... .$20.00 <br />Stormwater System Development Fee J510 SF) ......... .... $136.58 <br />By purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save Workers the City of Everett from any and <br />all claims far damages, cosh, expenses, or causes of action that may arise because of installation and maintenance offie improvement or other <br />right -of way use here to applied for and further agrees to remove some upon notice form the City and to replace public property damaged <br />thereby. <br />VALIDITY/EXPIRATION: <br />Work authorized by this permit must be started within ISO days of date permit is issued and thereafter B to be diligently pursued to completion. <br />This permit may be canceled by the eiry upon any stoppage M work an this protect over MO -day duration. Each Inspection extends the expiration <br />date 180 days to keep the permit open while work is active. <br />Page 1 of 1 <br />_APPUCANT/lo4sITECOPy _ADDi nD _TRvsuam <br />