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PUBLIC WORKS PERMIT <br />Date Applied: <br />6/23/2023 <br />City of Everett Permit Services <br />Public Works Permit It: <br />PW23116.016 <br />3200 Cedar street, 2.d Floor <br />Associated Bldg Permit#: <br />EVERETTEverett, <br />WA 98201 <br />Planning Reference#: <br />everettwa.Rov/permits <br />Public Works Fee: <br />$1,273.15 <br />WASRrNOTON <br />Perm Ise rvicesReverenvis. Ray <br />Schedule Inspections at: onllneoermits.everettwa.gov <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />WITHAM IONATHAN/MURPHY BRIANA JONATHAN WITHAM <br />881 OLYMPIC BLVD <br />EVERETT, WA 98203 <br />PHONE: 3607318551 PHONE: 3607318551 <br />SITE ADDRESS: 881 OLYMPIC DR TAX PARCEL ID #: 004647NOW02 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: INSTALL PAVERS/ REPLACE ASPHALT DRIVEWAY WITH CONCRETE /PLANTING <br />PERMRCONDITIONS: <br />1. All inspMians shall be scheduled online at hops://onllneoermits.everettwa.ew. Available inspection dates are shown in the dimpulown menu. <br />2. All work shall be performed in accordance with the permit and mrrem Cry of Everett'Cesign and Construction Standards and Specifications for <br />Development'. <br />3. Call Located Underground service 49 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 on jobsite at all times. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at onlinepermits.everettwa.gov to formally request <br />all required'mspecdons. <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 />SWPPP/TESC Plan. Remove upon completion of the project prior to final approval of the permit. <br />T. Keep City Streets dean a all times. No nor, mud, ranks, or debris to he tracked Onto roadway. <br />8. Protect all existing underground utilities during construction. <br />9. Any damage to City impmvements(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/owner's responsibility to ensure that standwater toff from new/replaced impervious surfaces will be managed on site In a <br />manner that does not adversely Meet neighboring properties, including the City's right of and/or easements and the improvements located <br />therein. <br />11. Prior to any interruption to the public right-of-way(roadways, parking lanes, or sldewalbl a Traffic Street Use permit shall be obtained from the <br />Cions Traffic Engineering Division. This permit can he applied for online at onbnepermits everettwa gw and requires a traffic control plan to be <br />submitted for the area of requested closure. Please allow 1-2 weeks for ISO permit issuance from the date of application. <br />12, This permit must be finaled in order to Close out Mls permB/gram a Certificate of Occupancy Request afinal Inspection online byselecting Pay 25- <br />Site Final/Permit Close Out within Me 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 he removed or relocated at theowner'sexpenseifMCCiryeverrequiresuseoftheright <br />- <br />of -way for municipal purposes. <br />PERMIT FEE BREAKDOWN <br />Erosion Control.......................................................................$50A0 <br />Paving(4,250 SF)....................................................................$45.00 <br />PW Plan Review......................................................................$20.00 <br />PW Site Inspection.............................$20.W <br />Scoutmaster System Development Fee (4,2505F).............$1,138.15 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing this permit and commencing work, the owner/applicant hereby agrees ro hold and save harmleas the City of Everett from any and <br />all claims for damages, costs, expenses, Or causes of action that may arise because of installation and maintenance of the improvement or other <br />right-ori use here to applied for and further agrees to remove same upon notice from the Cry and to replace public property damaged <br />thereby. <br />VAUBM/EKPIMTION: <br />Work authorized by this permit must he started within 180 do" of date permit is issued and thereafter is to be diligently pursued to completion. <br />This permit may be canceled by the city upon any stoppage of work on this project over 180-day duration. Each Inspection extends the expiration <br />date 18D day to keep the permit open while work is active. <br />Page 1 of 1 <br />_APPLICANT/I03 SITE COPY _ADDRESS FILE _TREASURER <br />