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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, 2"d 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 /> PERMIT FEE BREAKDOWN: <br /> Erosion Control $50.00 <br /> Grade/Fill/Excavate(210 CY) $90.00 <br /> Paving(3356 SF) $45.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> Stormwater System Development Fee(3356 SF) $898.74 <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 <br /> all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other <br /> right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged <br /> 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. <br /> This permit may be canceled by the city upon any stoppage of work on this project over 180-day duration.Each inspection extends the expiration <br /> 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 />