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PUBLIC WORKS PERMIT Date Applied: 7/20/2023 <br /> City of Everett Permit Services Public Works Permit#: PW2307-009 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: B2306-058 <br /> EV E R E T T Everett, WA 98201 Planning Reference#: <br /> everettwa.gov/permits Public Works Fee: $140.00 <br /> WASHINGTON PermitSeryices@everettwa.gov Schedule Inspections at:onlinepermits.everettwa.gov <br /> PERMIT FEE BREAKDOWN: <br /> Erosion Control $50.00 <br /> Grade/Fill/Excavate (21.25 CY) $25.00 <br /> Misc. Minor Permit $25.00 <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 <br /> from any and all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of-way use here to applied for and further agrees to remove same upon notice from the City and <br /> 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 <br /> to completion.This permit may be canceled by the city upon any stoppage of work on this project over 180-day duration. Each <br /> inspection extends the expiration date 180 days to keep the permit open while work is active. <br /> Page 2 of 2 <br /> _APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />