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PUBLIC WORKS PERMIT Date Applied: 4/15/2024 <br /> City of Everett Permit Services Public Works Permit#: PW2404-043 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> EVERETT Everett, WA 98201 Planning Reference#: <br /> everettwa.gov/permits Public Works Fee: $429.02 <br /> WASHINGTON Perm itSeryices@eyerettwa.goy Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CITY OF EVERETT Katherine Phillips <br /> 3200 CEDAR ST 800 E Mukilteo Blvd. <br /> EVERETT,WA 98201 Everett,WA 98203,WA 98203 <br /> PHONE: PHONE:4256260217 <br /> SITE ADDRESS: 1226 W CASINO RD TAX PARCEL ID#:00392200004300 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION:Walter E Hall Park-Picnic Area Improvements <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. <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 <br /> 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 <br /> in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the <br /> 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 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 /> 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 <br /> PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been <br /> completed. <br /> PERMIT FEE BREAKDOWN: <br /> Erosion Control.......................................................................$50.00 <br /> Paving(984 SF).......................................................................$45.00 <br /> PW Plan Review......................................................................$20.00 <br /> PW Site Inspection.................................................................$20.00 <br /> Stormwater System Development Fee(984 SF) ..................$294.02 <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 /> Page 1 of 2 <br /> _APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />