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PUBLIC WORKS PERMIT Date Applied: 3/31/2023 <br />City of Everett Permit Services Public Works Permit #: PW2303-022 <br />3200 Cedar Street, 2nd Floor Associated Bldg Permit#: B2305-034 <br />EV E R E T T Everett, WA 98201 Planning Reference #: <br />everettwa.gov/permits Public Works Fee: $200.00 <br />WASHINGTON Perm itSeryices@eyerettwa.goy Schedule Inspections at: onlinepermits.everettwa.gov <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />JEFF SCHULER AND MARY LEE WYSER CONSTRUCTION INC <br />2601 DOUGLAS BLVD 19015 109th AVE SE <br />ROSEVILLE, CA 95661 SNOHOMISH, WA 98296 <br />PHONE: PHONE: 4257420898 <br />SITE ADDRESS: 4849 SPIRE LN TAX PARCEL ID #: 00611100004200 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: EXCAVATE 400CY PETROLEUM CONTAMINATED SOIL <br />NOTES: CONTAMINATED SOIL FROM PREVIOUSLY REMOVED HEATING OIL TANK AND STRATEGIC BACKFILL USING CDF AND IMPORTED GRAVEL <br />BORROW BACK UP TO ORIGINAL GRADE. <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at https://onlinepermits.everettwa.gov. 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 <br />Specifications 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. Site Civil Work to be done per plans approved by the City of Everett Public Works Department. Approved plans must remain on job -site at <br />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 <br />request all required inspections. An Inspection Handout is provided at permit issuance with instructions on how to request an inspection <br />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 />SWPPP/TESC 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 />8. Protect all existing underground utilities (to remain) during construction. <br />9. All excavated material shall be hauled to an approved, permitted site. <br />10. Prior to any interruption to the public right-of-way (roadways, parking lanes, or sidewalks) a haul route will be required to be submitted to <br />the City of Everett prior to permit issuance. Contact the Traffic Engineering Department for Street Use Permits and any required Oversize <br />Load Permits at 425-257-8810 (press Option 7 for Traffic). <br />11. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by selecting <br />PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests when all items have been completed for this <br />permit. <br />PERMIT FEE BREAKDOWN: <br />Erosion Control............................................................................$50.00 <br />Grade/Fill/Excavate (400 CY) <br />.....................................................$110.00 <br />PW Plan Review...........................................................................$20.00 <br />PW Site Inspection.......................................................................$20.00 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing this permit and commencing work, the owner/applicant hereby agrees to hold and save harmless 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-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged <br />thereby. <br />VALIDITY/EXPIRATION: <br />Work authorized by this permit must be started within 180 days 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 180 days to keep the permit open while work is active. <br />Page 1 of 1 <br />_APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />