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PUBLIC WORKS PERMIT <br />Date Applied: <br />11/18/2022 <br />City of Everett Permit Services <br />Public Works Permk If: <br />PW2211-016 <br />3200 Cedar street, 2.d Floor <br />Associated Bldg Permit#: <br />EVERETTEverett, <br />WA 98201 <br />Planning Reference #: <br />everettwa.Rov/peran its <br />Public Works Fee: <br />$123.56 <br />WASHINGTON <br />Perm it5e ryicesReyerettwa. gay <br />Schedule Inspections at onl'meoermits.everettimazz <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CITY OF EVERETT <br />CITY OF EVERETT PARKS <br />32M CEDAR ST <br />802 E MUKILTEO BLVD <br />EVERETT, WA 98201 <br />EVERETT, WA 98201 <br />PHONE: <br />PHONE: 4256260217 <br />SITE ADDRESS: 3302 Miss ST TAX PARCEL ID M 00619732501400 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: INSTALL FENCE IS CONCRETE ENTRY PAD: OFF -LEASH DOG PARK <br />NOTES: ALONG CHESTNUT ST AT NORTH END OF SENATOR HENRY M JACKSON PARK. <br />PERMRCONDlnONS: <br />1. All Inspections shall be scheduled online at does licnlne rmin everettwa gov. Available inspection dates are shown in the dropdawn menu. <br />2. All work shall be performed in accordance with the permit and current City of Everelt'Design and Construction Standards and Specifications for <br />Development. <br />3. Call Location Undelgmund Seriim 48 hours before you dig. The day you Call does net count. TOLL FREE NUMBER 811. <br />4. Site Ovil Work to be done per plans approved by the City Of Everett Public Works Department. Approved plans must remain onpiesite at all times. <br />5. Imperil are require! for all stages of construction, Visit the Chys Online Permitting Portal at onlinepermits.everettre gov to formally request all <br />recall inspections. <br />6. Install and maintain erosion control measures per Clty of Everett Standards and per the direction of the PW Inspector and the approved <br />SWPPP/TESC Plan. Remove used completion of the project priorto Mal approval mthe Permit. <br />2. Keep Citystreeu clean at all times. No din, mud, rocks, or debris to be tracked onto roadway. <br />S. Protect all existing underground utilities during construnlon. <br />9. Any damage to Oly improvements bidewalk,curb, roadway, etc.j 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 stormwater runoff from new/replaced impervious surfaces will be managed onsite in a <br />manner that does not adversely afct feneighbor ng properties, Including the Ciry's right-of-way and/or easements and the improvements located <br />therein. <br />11. Prior to any instruction to the public right -of- way (roadways, parking lanes, or sidewalksl a Traffic Street Use permit shall be obtained fromthe <br />Cli Traffic Engineering Division. TNIs permit Ian be applied for online at onlinepermits.everettwagov and requires a traffic control plan to be <br />submated for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of application. <br />12. This permit most be Maled in order W Close out Mis perm@. Request a final inspection online by seleclang PW 25-Sda Final/Permit Close Out within <br />the Online Permitting Portal Inspection Requests for this permit when all Items have been completed. <br />PERMIT FEE BREAKDOWN: <br />Pavingl144 SF) ................................................................$45.00 <br />PW Plan Review.. ................ ........................ ................... <br />$20.00 <br />PW Site Inspection.. ................... -- .................. -- ........... <br />$20.00 <br />Stormwater System Development Fee I144 Si ......... <br />$38.56 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />By purchasing this permit and commencing work, the owner/applicant hereby agrees m hold and save harmless the City of Everett "many and <br />all claims for damages, costs, expenses, or causes of action that may arise because of installmion and maintenance of the improvement or other <br />right-oi 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 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 l8 yduration. 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/LOB SITE COPY _ADDRESS FILE _TREASUREIR <br />