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PUBLIC WORKS PERMIT Date Applied: 12/1/2023 <br /> City of Everett Permit Services Public Works Permit#: PW2312-001 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> EV E R E T T Everett, WA 98201 Planning Reference#: <br /> everettwa.gov/permits Public Works Fee: $362.19 <br /> WASHINGTON Perm itSeryices@eyerettwa.goy Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CUELLAR DELFINO G JR& KATHRYN A DELFINO CUELLAR <br /> 4819 ALGER AVE <br /> EVERETT,WA 98203-3227 <br /> PHONE:4253087798 PHONE:4253087798 <br /> SITE ADDRESS:4819 ALGER AVE TAX PARCEL ID#:00611100008100 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION: INSTALL 4"STRIP DRAIN 16'PIPED INTO 4" PVC ROUTED TO DRAIN <br /> NOTES:SUMP ON NORTHEAST SIDE OF PROPERTY <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. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector and the <br /> approved 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 <br /> PW Inspector. <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed <br /> on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and <br /> the 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 <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 <br /> 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 <br /> have been completed. <br /> PERMIT FEE BREAKDOWN: <br /> Erosion Contro.......................................................................1$50.00 <br /> Paving(755 SF).......................................................................$45.00 <br /> PW Plan Review......................................................................$20.00 <br /> PW Site Inspection.................................................................$20.00 <br /> Stormwater System Development Fee(755 SF) ..................$202.19 <br /> Page 1 of 2 <br /> _APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />