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PUBLIC WORKS PERMIT <br />Date Applied: <br />5/4/2023 <br />City of Everett Permit Services <br />Public Works Permit R: <br />PW230i <br />3200 Cedar street, 20 Floor <br />Associated Bldg Permitk: <br />EVERETTEverett, <br />WA 98201 <br />Planning Reference N: <br />everettwa.eov/permits <br />Public Works Fee: <br />$65.00 <br />WASHINGTON <br />Perm itSeryiceskl eyerettwa.eoy <br />Schedule Inspections at: onlineoermitteverettwa.ew <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />PUBLIC UTILITY DIST 1 SNO CO KASEY W ESTFALL <br />2320CALIFORNIA <br />EVERETT, WA 98201 <br />PHONE: PHONE: 4257585963 <br />SITE ADDRESS: 1802 75TH ST SW TAX PARCEL ID IF: W392200000300 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: REPLACE EXISTING NORTH VEHICLE ENTRY GATE WITH NEW <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at hays ://onlineoermitseverettwanow . Available inspection dates are shown in the dmpdown menu. <br />2. All work shall be performed In accordance with the peanut and current City of Everett'Design and Construction Standards and Specifications for <br />Oevelopmene. <br />3. Call Location Underground groim 48 hours before you dig. The day You call does not count. TOLL FREE NUMBER 611. <br />4. Site Civil Work to be done Per plans approved by the City of Everett Public Works Department. Approved plans must remain an jobsite at all Imes. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at onlinepermitceverettwa.gav to formally request <br />all required inspections. <br />6. Install and maintain erosion control measures per Citya 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 perm¢. <br />T. Keep City stree6 clean at all times- No dirt, mud, rocks, or debris to be tracked onto roadway. <br />8. Protect all existing underground utilhms; all construction. <br />9. Any damage to City Improvements (sidewalk, curb, roadway, ex.) shall be replaced per Cry Standards and/or as directed by the Clry PW Inspector. <br />10. It is the appliranVowmeh responsibility to ensure that starmwater runoff from new/replaced impervious surfaces will be managed onsite In a <br />manner that does not adversely affect neighboring Properties, including the City dgbtof-way and/or easements and the improvements located <br />therem. <br />11. Prior to any interruption to the public rightof-way(roadways, Parking lanes, or snewallol a Traffic Street Use Permit shall be obtained from the <br />CitYs Traffic Engineering Division. This permit can be applied for online at onllnepermits.everettwa.gw and requires a traffic control plan to be <br />submitted for the area of requested closure. Please allow 1-2 weeks for TSU Faimlt issuance from the date of application. <br />R. This permit must be handed in order to close out this permit/granta CertiicateofOccupancy.RequestafinalinspectiononlinebyselectingPW25- <br />She Final/Permit Close Out within the Online Permuting Portal Inspection Requests for this permit when all items have been completed. <br />13. All work constructed within the public right-of-way must be removed or relocated at the owners expense If the City ever requires use of the right <br />of -way for municipal purposes. <br />PERMIT FEE BREAKDOWN: <br />Misc. Minor Permits (Automated Gate)................................$25.00 <br />PW Plan Review..................................................................... $20.00 <br />PW Site Inspection ................................................................ $20.W <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 far damages, costs, expenses, or causes of anion that may artse because of installation and maintenance of the improvement or other <br />right-alway use here to applied for and further agrees to remove same upon notice from the City and W replace public property damaged <br />thereby. <br />VALIDITY/EXPIRATION: <br />Work authorized by this Permit must be opened 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 ADdayduration. Each inspection extends the expiration <br />date 180 days to keep the permit open while work is arrive. <br />Page 1 of I <br />_APPUCAm/10esITECOPY _ADDi nit _TRvsuam <br />