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PUBLIC WORKS PERMIT <br />City of Everett Permit Services <br />E V E R E T T 3200EveCedar <br />rett, WA 98201 Floor <br />WASHINGTON eve rettwa.goy/permits <br />PermitServices@everettwa.gov <br />OWNER NAME AND ADDRESS: <br />SAKS HOLDINGS LLC <br />3518 210TH PL SE <br />BOTHELL, WA 98021 <br />PHONE: <br />Date Applied: 11/1/2022 <br />Public Works Permit #: PW2211-003 <br />Associated Bldg Permit #: #: <br />Planning Reference #: <br />Public Works Fee: $85.00 <br />Schedule Inspections at: onlinepermits.everettwa.gov <br />APPLICANT NAME AND ADDRESS: <br />A4IFAT1.1:1fl MS!NQ1g:1N <br />PHONE: 2065717716 <br />SITE ADDRESS: 11200 EVERGREEN WAY TAX PARCEL ID #: 00442900400100 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: INSTALL AND SAMPLE (2) GROUNDWATER MONITORING WELLS IN ROW <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at https://onlinepermits.everettwa.gov. Available inspection dates are shown in the dropdown menu. <br />2. All work shall be performed in accordance with the permit and current City of Everett 'Design and Construction Standards and Specifications for <br />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 job - <br />site at all times. <br />S. 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. Remove upon <br />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 City <br />PW Inspector. <br />10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed <br />on -site 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. Prior to any interruption to the public right-of-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be <br />obtained from the City's Traffic Engineering Division. This permit can be applied for online at onlinepermits.everettwa.gov and requires a <br />traffic control plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of <br />application. <br />12. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by <br />selecting PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have <br />been completed. <br />Public Works Permit Fee Breakdown: <br />Paving (18 SF)............................................$45.00 <br />PW Plan Review........................................$20.00 <br />PW Site Inspection....................................$20.00 <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 />