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PUBLIC WORKS PERMIT <br />Date Applied: <br />9/30/2023 <br />City of Everett Permit Services <br />Public Works Perm##: <br />PW2309uOM <br />3200 Cedar Street, 2.d Floor <br />Associated Bldg Permit#: <br />EVERETTEverett, <br />WA 98201 <br />Planning Reference#: <br />everettwa.gov/permits <br />Public Works Fee: <br />$247.29 <br />cans RlNOTON <br />Perm it5e rvicesReverenvis. Pay <br />Schedule Inspections at: onlingermitseveretomaov <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />HUYNH QUAN QUOC & TA THEN QUAN HUYNH <br />11952ND ST SW <br />EVERETT, WA 98203 <br />PHONE: PHONE: 4258703908 <br />SITE ADDRESS: 119 S2ND ST SW TAX PARCEL ID #: 00442200000200 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: GRAVEL TTT SF, FRONT YARD UPDATED ICE23(1996) <br />PERMRCONOITIONS: <br />1. All inspections shall be scheduled online at fitted//oniumpermits.everettwa.env. Available inspection dates are shown in the dropdown <br />menu. <br />2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and <br />Specifications for Development'. <br />3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br />4. She Civil Work to be done per plans approved by the City of Everett Public Works Department. Approved plans must remain on job -site at <br />all times. <br />5. Inspections are required for all stages of construction. Visit the Gigs Online Permitting Portal at onlinepermits.everettwa.gov to formally <br />request all required Inspections. <br />6. Install and maintain erasion control measures per City of 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 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, madway,etc.) shall be replaced Per City Standards and/or as directed by the City PW <br />Inspector. <br />10. It is the applicant/owmers responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on -site <br />In a manner that does not adversely affect neighboring properties, Including the City's right-of-way and/or easements and the <br />improvements located therein. <br />11. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by selecting <br />PW 25-51te Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all Items have been <br />completed. <br />12. 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 <br />the right-of-way for municipal purposes. <br />PERMIT FEE BREAKDOWN <br />Paving(WISSF)........................................................................$45.00 <br />PW Plan Review......................................................................$20.00 <br />PW Site Inspection.................................................................$20.00 <br />Stormwater System Development Fee 1606 SF) ..................$162.29 <br />ACIINOW IEDGEMEM OF CONDMONS <br />By purchasing this permit and commencing work, the owner/applicant hereby agrees W hold and save harmless the City of Everett from any and <br />all claims for damages, gets, expenses, or causes of action that may arise because ed installation and maintenance of the improvement or other <br />right-of-way 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/EXPIMTIDN: <br />Work authorized by this permit must M started within 180 days of date permit B issued and thermal B to be diligently pursued to completion. <br />This Permit may be canceled by the city upon any stoppage of work on this project over 180-day duration. 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/IOa SITE COPY _ADDRESS FILE _TREASUPEIR <br />