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PUBLICIORKS PERMIT DateApplied: 9/2/2022 <br /> City of Verett Permit Services Publiclagrks Permit PW2209-003 <br /> EVERETT 3200 Cedar Street, 2nd 0 Floor Associated Bldg Permit#: B2208-086 <br /> Everett, WA 9821 Planning Reference#: <br /> WASHINGTON everettwa.gov/permits Public Works Fee: $393.96 <br /> PermitServices@everettwa.Pov Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> RIELLY GREGORY ALBERT COHEN <br /> 1516 RUCKER AVE <br /> EVERETT,WA 98201-2016 <br /> PHONE: PHONE:4257767373 <br /> SITE ADDRESS: 1516 RUCKER AVE TAX PARCEL ID#:00475430602600 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION:DEMO CARPORT/GARAGE ADDN/UNFINISHED BASEMENT TO ADU/ROOF <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-site at all <br /> 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 and 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-site in a <br /> manner that does not adversely affect neighboring properties,including the City's right-of-way and/or easements and the improvements located <br /> 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 from the <br /> City's Traffic Engineering Division.This permit can be applied for online at pw.everettwa.gov and requires a traffic control plan to be submitted for <br /> 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 selecting PW <br /> 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been 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 the <br /> right-of-way for municipal purposes. 8 u IL!J 1 <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control $50.00 <br /> Paving(296 SF) .$45.00 JAN 13 2023 <br /> PW Plan Review .$20.00 .. <br /> PW Site Inspection 258.96 CITY OF EVERETT <br /> Stormwaterter System Development Fee $258.96 Permit Services <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 1of1 <br /> _APPLICANT/JOB SITE COPY ADDRESS FILE TREASURER <br />