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PUBLIC WORKS PERMIT Date Applied: 1/30/2023 <br />City of Everett Permit Services Public Works Permit #: PW2301-019 <br />3200 Cedar Street, 2"d Floor Associated Bldg Permit #: <br />EVERETTEverett, WA 98201 Planning Reference #: <br />WASHINGTON everettwa.gov/permits Public Works Fee: $525.26 <br />PermitServices@everettwa.gov Schedule Inspections at: onlinepermits.everettwa.gov <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />WOODY JUSTIN TAYLOR\JENNIFER LYNN WOODY JUSTIN TAYLOR\JENNIFER LYNN <br />910 HOYT AVE 910 HOYT AVE <br />EVERETT, WA 98201 EVERETT, WA 98201 <br />PHONE: 4087262334 PHONE: 4087262334 <br />SITE ADDRESS: 910 HOYT AVE TAX PARCEL ID #: 00553217402900 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: SURFACE PAVING OVER EXISTING DRIVEWAY <br />NOTES: REMEDY CE22-1026 <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at https://onlinepermits.everettwa.gov. 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 Specifications <br />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. Site Civil Work to be done per plans approved by the City of Everett Public Works Department. Approved plans must remain on <br />job -site at all times. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at onlinepermits.everettwa.gov to <br />formally request all required inspections. A handout is provided at permit issuance with instructions on how to request an inspection <br />online. <br />6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector and the <br />approved SWPPP/TESC Plan. Remove upon completion of the project prior to final approval of the permit. <br />7. 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, roadway, etc.) shall be replaced per City Standards and/or as directed by the <br />City PW Inspector. <br />10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be <br />managed on -site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or <br />easements and the improvements located therein. <br />11. This permit must be finaled in order to close out this permit. Request a final inspection online by selecting PW 25-Site Final/Permit <br />Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br />Public Works Permit Fee Breakdown: <br />Paving (1644 SF) .......................................... $45.00 <br />PW Plan Review .......................................... $20.00 <br />PW Site Inspection ...................................... $20.00 <br />Stormwater System Development Fee..... $440.26 <br />ACKNOWLEDGEMENT OF CONDITIONS <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 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 />VALIDITY/EXPIRATION: <br />Work authorized 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 180-day duration. Each inspection extends the expiration date <br />180 days to keep the permit open while work is active. <br />Page IofI <br />APPLICANT/JOB SITE COPY ADDRESS FILE TREASURER <br />