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PUBLIC WORKS PERMIT Date Applied: 11/9/2023 <br /> City of Everett Permit Services Public Works Permit#: PW2311-012 <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: $115.00 <br /> WASHINGTON Perm itSeryices@eyerettwa.goy Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Katherine Phillips Katherine Phillips <br /> 802 E Mukilteo Blvd. 802 E Mukilteo Blvd. <br /> Everett,WA 98203 Everett,WA 98203,WA 98203 <br /> PHONE: PHONE:4256260217 <br /> SITE ADDRESS:400 SIEVERS-DUECY BLVD TAX PARCEL ID#:28041200201100 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION: Playground Renovation-PHIL JOHNSON BALLFIELDS PARK <br /> PERMIT CONDITIONS: <br /> 1. All inspections shall be scheduled online at https://onIinepermits.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 times. <br /> 5. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at onlinepermits.everettwa.gov to formally request <br /> 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 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 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 onlinepermits.everettwa.gov and requires a traffic control plan to be <br /> submitted for 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 25- <br /> Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br /> PERMIT FEE BREAKDOWN: <br /> Erosion Control.......................................................................$50.00 <br /> Misc. Minor Permit Fee(Drainage Work)..............................$25.00 <br /> PW Plan Review......................................................................$20.00 <br /> PW Site Inspection.................................................................$20.00 <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 1 of 1 <br /> _APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />