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444*11, <br /> COUNTY ROAD Snohomish County <br /> RIGHT-OF-WAY USE UTILITY PERMIT APPLICATION Planning and Development Services <br /> M/S 604 <br /> 3000 Rockefeller Avenue <br /> Everett,WA 98201 <br /> (425)388-3385 <br /> Utility Name City of Everett Date 10/5/2023 <br /> Mailing Address 3200 Cedar ST City Everett Zip 98201 <br /> Contact Person Abiy Tsegaye Phone No. 425-257-8884 <br /> Sec. 30 Township 28 Range 5 Utility Work Order No. U2308-001 <br /> Job Location 11907 Silver Way, Everett WA 98208 <br /> Project Name and County Tracking No. <br /> SCC 30.63A.200(2)Utilities applying for a major utility construction permit shall propose erosion and sedimentation <br /> control best management practices(BMP's)for the utility construction at the time of application. <br /> RIGHT-OF-WAY USE PERMIT IS REQUESTED FOR THE FOLLOWING: <br /> Description of Use: <br /> Sanitary sewer connection to the city of Everett sewer main on Silver way. <br /> COUNTY USE ONLY <br /> UTILITY PROVIDES INFORMATION BELOW (IF APPLICABLE) APPLICATION FEE 250.00 <br /> PERMIT FEE 450.00 <br /> ROAD SHOULDER CUT 14 L.F. LINEAL FEET X.40 5.60 <br /> ROAD ASPHALT/CONC CUT 16 L.F. LINEAL FEET X 1.30 20.80 <br /> PLOWED CABLE IN ROAD 0 L.F. LINEAL FEET X <br /> ESA Q Yes Q No SWPPP FEE 375.00 <br /> TECH FEE(3i Scc30.e6.030) 33.04 <br /> yes no TOTAL: $1.134.44 <br /> E3 0 Is the proposed construction located within a critical area(wetland)as defined by SCC30.62A? <br /> X El All construction is subject to a Stormwater Pollution Prevention Plan(SWPPP)and applicable fees per SCC30.63A Drainage <br /> NO WORK OR ACTIVITY SHALL BEGIN WITHIN THE PUBLIC RIGHT-OF-WAY <br /> UNTIL A PERMIT HAS BEEN GRANTED BY SNOHOMISH COUNTY. <br /> I will accept a permit subject to the terms and conditions of Title 13 as herein set forth. <br /> Abiy Tsegaye 10/5/2023 <br /> Signature Date <br /> Utilities/Printed Name/Job Title <br /> ------------------------------------------------------------------------------------------------------------------------------------ <br /> COUNTY USE ONLY <br /> TRACKING NO. 23 116417 D8 INSPECTOR Anderson <br /> APPLICANT TO KEEP COPY OF APPLICATION APPLICANT SUBMIT 2 COPIES OF APPLICATION AND PLANS TO SNO CO <br /> S:\CSC\Documenowarehouse\FORMS\Current Forms\Word Version\UTILAPPL Revised 1102021.doc Revised 11-01-2021 <br />