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PUBLIC WORKS PERMIT Date Applied: 2/22/2023 <br />City of Everett Permit Services Public Works Permit #: PW2302-011 <br />3200 Cedar Street, 2nd Floor Associated Bldg Permit#: B2302-096 <br />EV E R E T T Everett, WA 98201 Planning Reference #: REVI23-018 <br />everettwa.gov/permits Public Works Fee: $4,247.44 <br />WASHINGTON Perm itSeryices@eyerettwa.goy Schedule Inspections at: onlinepermits.everettwa.gov <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />COMMUNITY HEALTH CENTER OF SNOHOMISH CO JANET L. MONDA <br />PO BOX 13060 <br />EVERETT, WA 98206 <br />PHONE: PHONE: 4258232244 <br />SITE ADDRESS: 8531 EVERGREEN WAY TAX PARCEL ID #: 28041300103100 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: SITE WORK FOR CHC - CLEARING, GRADING, PARKING, LANDSCAPING <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at https://onlinepermits.everettwa.gov. Available inspection dates are shown in the dropdown <br />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 -site at <br />all times. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at onlinepermits.everettwa.gov to formally <br />request all required inspections. A handout is provided at permit issuance with instructions on how to request an inspection online. <br />6. 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 />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 shall be <br />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 Construction <br />Standards and Specifications for Development" prior to the utilities being brought online. Water, sewer, and storm as-builts may be <br />submitted separately as they become available. Water as-builts MUST be submitted prior to the Water Department making connection to <br />the public water system and putting the new water main in service. It is encouraged for the water system to be surveyed prior to cover. <br />9. Record Pedestrian Access Easement. The easement documentation must be recorded by the project team with a copy of the recorded <br />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 1-year Warranty Bond in the amount of 10% of the construction costs for all public improvements shall be submitted to the City prior to <br />final approval/close out of the permit. <br />12. A 2-year Warranty Bond in the amount of 10% of the construction costs for all Stormwater Infrastructure shall be submitted to the City <br />prior to final approval/close out of the permit. <br />13. 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 listed. <br />Please allow up to one week for the inspection to be scheduled. <br />14. Prior to any interruption to the public right-of-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained <br />from the City's Traffic Engineering Division. This permit can be applied for online at onlinepermits.everettwa.gov and requires a traffic <br />control plan to be submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of application. <br />15. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by selecting <br />PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests when all items have been completed for this <br />permit. <br />Page 1 of 2 <br />_APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />