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PUBLIC WORKS PERMIT Date Applied: 1/3/2023 <br /> City of Everett Permit Services Public Works Permit#: PW2301-001 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: B2301-001 <br /> EV E R E T T Everett, WA 98201 Planning Reference#: <br /> everettwa.gov/permits Public Works Fee: $1123.74 <br /> WASHINGTON PermitServices@everettwa.gov Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> ZIZAK,ADIS ZIZAK,ADIS <br /> 1104 178TH ST SW 1104 178TH ST SW <br /> LYNNWOOD,WA 98037 LYNNWOOD,WA 98037 <br /> PHONE:4252682515 PHONE:4252682515 <br /> SITE ADDRESS:9227 4TH AVE W TAX PARCEL ID#:00480200101801 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION:SITEWORK FOR NEW DUPLEX/DRIVEWAY ACCESS SERVING BOTH UNITS <br /> PERMIT CONDITIONS: <br /> 1. All inspections shall be scheduled online at https://onlinepermits.everettwa.gov.Available inspection dates are shown in the <br /> dropdown menu. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and <br /> Specifications 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- <br /> 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. Any damage to City improvements or triggered ADA compliance(sidewalk,curb, ramps, driveways, roadway,etc.)shall be replaced <br /> per City Standards and/or as directed by the City PW Inspector. <br /> 7. City of Everett Water Department crews shall make all connections to City water main at owner/contractor's expense.This work to be <br /> under a separate Utility Permit to be purchased at the Permit Services Counter per a cost estimate by the Water Department.Work <br /> shall be scheduled 3-4 weeks in advance. <br /> 8. As-builts of water,sanitary sewer,and storm systems are required to be submitted to the PW Inspector per City"Design and <br /> Construction Standards and Specifications for Development" prior to the utilities being brought online.Water,sewer,and storm as- <br /> builts may be submitted separately as they become available.Water as-builts MUST be submitted prior to the Water Department <br /> making connection to the public water system and putting the new water main in service. It is encouraged for the water system to be <br /> surveyed prior to cover. <br /> 9. On-site water and sewer mains will be staked within an easement to the City.The easement documentation must be recorded by the <br /> project team with a copy of the recorded document submitted to the City prior to final approval/close out of the permit. <br /> 10. A Declaration of Covenant for Stormwater BMPs shall be submitted to the City prior to final approval/close out of the permit. <br /> 11. A Landscape Inspection is required by the Planning Department prior to final by the Public Works Inspector.To schedule a planning <br /> inspection, contact Planning@everettwa.gov and request an inspection with the permit number,site address,and inspection type <br /> listed. Please allow up to one week for the inspection to be scheduled. <br /> 12. 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 <br /> requires a traffic control plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from <br /> the date of application. <br /> 13. 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 when all items have been <br /> completed for this permit. <br /> Page 1 of 2 <br /> APPLICANT/JOB SITE COPY ADDRESS FILE TREASURER <br />