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PUBLIC WORKS PERMIT Date Applied: 8/31/2021 <br /> City of Everett Permit Services <br /> Public Works Permit#: PW2108-070 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> EVERETT <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $90.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> JONES CANDIS CURTIS MCILRATH <br /> 1012 W MUKILTEO BLVD <br /> EVERETT,WA,98203 <br /> PHONE: PHONE:4254890123 <br /> TAX PARCEL ID#:00505800001701 SITE ADDRESS: 1012 W MUKILTEO BLVD <br /> DESCRIPTION: INSTALL CB AND PIPE TO FILL DITCH <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <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 job-site at <br /> all times. <br /> 5. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to 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 or the approved <br /> 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 City PW <br /> Inspector. <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on- <br /> 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 obtained <br /> from the City's Traffic Engineering Division.This permit can be applied for online at pw.everettwa.gov and requires a traffic control plan to be <br /> submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of 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 been <br /> completed. <br /> 13. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires use of <br /> the right-of-way for municipal purposes. <br /> Public Works Permit Fee Breakdown: <br /> Grade/Fill/Excavate(40CY).............................$25.00 <br /> Misc. Minor Permits(Drainage Work).............$25.00 <br /> PW Plan Review..............................................$20.00 <br /> PW Site Inspection..........................................$20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to hold and save harmless the City of Everett from any <br /> and all claims for damages,costs,expenses,or causes of action that <br /> may arise because of installation and maintenance the <br /> improvement or other right-of-way use here to applied for and further <br /> b gl3f�20Z <br /> ' agrees to remove same upon notice from the City and to replace <br /> Approved for Construction, Public Works Dept. Date public property damaged thereby. <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 PERMIT MAYBE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br />