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PUBLIC WORKS PERMIT <br />Date Applied: <br />7/29/2022 <br />City Everett Permit Services <br />Public Works Permit#: <br />PW2107-023 <br />E V E R E T T <br />0 <br />3200 Cedar Street, 2n0 Floor <br />Everett, WA 96201 <br />Associated Bldg Permit#: <br />Planning Reference#: <br />82207-089 and 090 <br />WASHINGTON <br />everettwa.eov/permits <br />Public Works Fee: <br />$1,586.35 <br />Perm lt5ervices(w everettwa.gov <br />Schedule Inspections at: Doineoermitmeverettwa.eov <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />AMA VENTURES LLC ELDEN MCCALL PE <br />PO BOX 271 <br />LAKE STEVENS, WA 98258 <br />PHONE: PHONE: 3606525820 <br />SITE ADDRESS: 17U& 173010011H ST SW TAX PARCEL ID as 00552000E02600 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: SITE WORK FOR DAKOTA WAY BIA-LOTC <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at bttos://onlinevermits.everettwa.gov. Available inspection dates are shown in the drotedown menu. <br />2. All work shall be performed in accordance with the permit and current City of Everett 'Design and Cmsstruction Standards and Specifications for <br />Developmene. <br />3. Call Location Underground Service 48 hours before you dig. The day you call does not count. WILL FREE NUMBER 811. <br />4. Site CMI Work To be done per plans approved by the City of Everett Public Works Department. Approved plans must remain on jobsite at all times. <br />5. Inspectlonsare required far all stages ofconstruction. Visit the Chys Online Permitting Panel onlinepermits.averettwa.govto 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 SWPPPrMSC <br />Plan. Remove upon completion of the Project priorto final approval of the permit. <br />T. Keep City streets dean at all times. No dirt, mud, racks, or debris to be tracked onto roadway. <br />S. Protect all existing underground utilities during construction. <br />9. Any damage to City improvements (sidewalk curb, roadway, Serf shall he replaced per City Standards and/or as directed by the City PW Inspector. <br />10. It is the ainalirantlowner's responsibility to ensure that mormwater runoff from new/replaced impervious surfaces will he managed on -site in a <br />manner that does trot adversely affect neighboring properties, including the Co's cull way and/or easements and the improvements located therein. <br />11. Prior To any interrupumn to the public right-of-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained from the City's <br />Traffic Engineering Division. This permit can be applied for online at onlinepermits.everettwa.gov and requires a traffic control plan to be submitted for <br />the area of requested closure. Please allow 1-2 Weeks for TSU Permit issuance fmm the date of application. <br />II. This permit must be Bnaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by selecting PW 25- <br />Slte Final/Pem,lt Close Out within the Online Permitting 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 lithe City ever requires use of the right-of- <br />way for municipal purposes. <br />Public Works PermN Fee Breakdown <br />Erosion Control. ................................................. <br />$50.00 <br />Grade/Fill/Excavate(29D)i ................................$90.00 <br />Paving(1.445 SF) ..... ............................................ <br />$45.00 <br />Ifrrveway(Aspbalt Apron x2j...............................$50.00 <br />PW Plan Revlew...................................................$20.00 <br />PW She Inspection ............................................... <br />$20.00 <br />Stormwater System Development Fee........... <br />$1,311.35 <br />By purchasing this Permit and commencing work, the owner/applicant hereby agrees to hold and saw: harmless the City of Everett from any and all <br />claims for damages, costs, expenses, or causes of action that may arise because of Installation and maintenance of the Improvement or other right. <br />of -way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. <br />VAUDITY/EXPIRATION: <br />Work authorised by this permit must be started within 180 days of date permit is issued and thereafter is to be diligently pursued to completion. This <br />permit may be canceled by the city upon any stoppage of work on this Project over IN day duMion. Each inspection etdends the expiration date <br />180 days to keep the permit open while work is Solve. <br />Page 1 of 1 <br />_APPucABTpoe SIR COPY _ADDRESS B¢ _TREASURER <br />