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PUBLIC WORK$ PERMIT <br />Date Applied: <br />3/28/2022 <br />Cityof Everett permit Servi Les <br />Public Works Permit#: <br />PW2203-03D <br />EVERETT <br />3200 Cedar 5[reeq 20° FI°°' <br />Evere[[, WA 98201 <br />Associated Bldg Permit #: <br />Planning Reference #: <br />wAARINCTON <br />425-25T-S81D <br />Public Works Fee: <br />$356.25 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />KERARA KARLEE 1 & KATSUHITO <br />KARLEE IKEBARA <br />9916 2ND AVE SE <br />EVERETT, WA, 98208-2770 <br />PHONE: <br />PHONE:4252322914 <br />TAX PARCEL ID #: 00480201100702 <br />SITE ADDRESS: 99162ND AVE SE <br />DESCRIPTION: ADDING CONCRETE PAD TO SIDE/REAR OF GARAGE <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMMCONDITIONS: <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall m performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications <br />for Development. <br />S. Call Location Underground Service 48 hours before you dig. The day you call does not mum. 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 jobsiteat <br />alltimes. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at pw.everettwa.gov to formally request all <br />required inspections. A handout is provided at Permit Issuance with Instructions on how to request an Inspection 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/rESC Plan. Remove upon completion of the project prior to final approval of the permit. <br />T. 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 Mormwater runoff from new/replaced impervious surfaces will be managed on <br />see in a manner that does not adversely affect neighboring properties, including the Lays right-of-way and/or easements and the <br />Improvements located therein. <br />11. Prior to any interruption to the public right-of-way (roadways, Parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained <br />from the City's Traffic Engineering Division. This permit can be applied for online at pw.everemwa.gov and requires a traffic control plan to be <br />submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit Issuance from the date of application. <br />12. This permit must be finaled in order to close out this permi0'grant a Certificate of Occupancy. Request a final inspection online by <br />selecting Par 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been <br />completed. <br />13. All work constructed within the public rightof-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 />Public Works Permit Fee Breakdown: <br />Paving(10135F)...............................................$45.00 <br />PW Plan Rnlew..............................................$20.00 <br />PW Site Inspection..........................................$20.00 <br />Stormwater System Development Fee ......... $271.25 <br />Cry of Everett Wool Use Only ACKNOWLEW EAsENT OF CONDITOW <br />By purchRUPEE Is permit and commencing work, the owner/applicant <br />hereby agrees to hold and save harmless Use Day of Everett from any <br />and all claims for damages, costs, expenses, or causes of action that <br />A may arise because of Installation and maintenance of the <br />g <br />05/02/2022 Improvement or other dent -of -way use here to applied far and mrmer <br />agrees to remove same upon notice from the Cry and to replace <br />Approved for Construction, Public Works Dept. Date public property damaged thereby. <br />WORK AUTHORIZED ERE IN IS PERMIT MUST BE STARTED WITH IN 11D EAS OF DAIRE PERIMIR IS ESURDAND THEREAFTER IS TOM DIUMENTLY PURSUED TO COMPLETION. THIS PERMIT MAY M OURELLED By THE <br />OPY Ui My STUPPASE OF WORK ON THIS �IEU�R IMETAY DURATIONE Evol INW�M EMNM THE OFFIRATION DUMPE For DUE TO KEEP THE PMMff OPEN We a WORK 15 STUFF <br />_APPLIGNT/IOa SITE COPY _TREASURER _ADDRESS FILE <br />