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PUBLIC WORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2nd Floor <br />EVERETTEverett, <br />WA 98201 <br />everettwa.gov/permits <br />WASHINGTON <br />PermitServices@everettwa.gov <br />OWNER NAME AND ADDRESS: <br />TRUONG DON <br />517 95TH PL SW <br />EVERETT, WA 98204-1175 <br />PHONE: 425-870-8879 <br />Date Applied: 9/16/2023 <br />Public Works Permit #: PW2309-020 <br />Associated Bldg Permit #: <br />Planning Reference #: <br />Public Works Fee: $109.10 <br />Schedule Inspections at: onlinepermits.everettwa.gov <br />APPLICANT NAME AND ADDRESS: <br />TRUONG DON <br />517 95TH PL SW <br />EVERETT, WA 98204-1175 <br />PHONE: 425-870-8879 <br />SITE ADDRESS: 517 95TH PL SW TAX PARCEL ID #: 00378700200304 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: EXTEND DRIVEWAY PER INCLUDED SITE PLAN <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. <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 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 responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on -site <br />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. This permit must be finaled in order to close out this permit. Request a final inspection online by selecting PW 25-Site Final/Permit Close <br />Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br />12. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires use of <br />the right-of-way for municipal purposes. <br />PERMIT FEE BREAKDOWN: <br />Paving (90 SF) $45.00 <br />PW Plan Review $20.00 <br />PW Site Inspection $20.00 <br />Stormwater System Dev Fee (90 SF) $24.10 <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 />