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<br />Date Applied: 7/31/2019 <br />PUBLIC WORKS PERMIT <br /> Public Works Permit #: PW1907-053 <br />City of Everett Permit Services <br />nd <br /> Associated Bldg Permit #: <br />3200 Cedar Street, 2 Floor <br /> Planning Reference #: <br />Everett, WA 98201 <br /> Public Works Fee: $0 <br />everettwa.gov/permits <br />Schedule Inspections at: onlinepermits.everettwa.gov <br />PermitServices@everettwa.gov <br /> <br /> <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />SKOTDAL HOLDINGS LLC SKOTDAL BROS LLC <br />1604 HEWITT AVE, STE 200 PO BOX 5267 <br />EVERETT, WA 98201 EVERETT, WA 98206 <br />PHONE: 4252525400 PHONE: 4252525400 <br />_______________________________________________________________________________________________________________________________________________ <br />SITE ADDRESS: 2730 W MARINE VIEW DR TAX PARCEL ID #: 00439162001700 <br /> <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: TEMPORARY FILL & GRADE NOT TO EXCEED 1,000 CY. <br />NOTES: NOTE: To allow the stockpiling of more than 1,000 cubic yards, a SEPA checklist and an additional public works permit will be <br />required, which shall show a plan for how the fill will be finished on the site with final grades, and a description of how the fill area will <br />be used in the future. <br />TEMPORARY FILL & GRADE NOT TO EXCEED 1,000 CY. <br /> <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. <br /> <br />PERMIT FEE BREAKDOWN: <br />4. Site Civil Work to be done per plans and Construction SWPPP approved by the City of Everett Public Works Department dated 8/1/2019. <br />Approved plans must remain on job-site at all times. <br />5. Fill under this permit is not to exceed 1,000 cubic yards. In order to place additional fill, a SEPA will need to be applied for through the <br />Planning Department and once a SEPA Determination is issued, a separate Public Works Permit shall be applied for, approved, and issued by <br />the City of Everett for additional fill to be placed in accordance with the SEPA Determination. <br />6. Fill shall not be placed on existing concrete foundation as a permanent condition. Foundation shall be broken up and removed if final <br />grading is to be placed in that area. <br />7. Inspections are required for all stages of construction. Visit the City’s Online Permitting Portal at pw.everettwa.gov to formally request all <br />required inspections. An Inspection Handout is provided at permit issuance with instructions on how to request an inspection online. <br />8. Install and maintain erosion control measures per City of Everett Standards, approved SWPPP, and per the direction of the Public Works <br />Inspector. Remove upon completion of the project prior to final approval of the permit. <br />9. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />10. This permit must be finaled in order to close out this permit. Request a final inspection online by selecting PW-Site Final within the <br />Online Permitting Portal Inspection Requests when all items have been completed for this permit. <br /> <br />Public Works Permit Fee Breakdown: <br />Erosion Control.......................................$200.00 <br />Grade/Fill/Excavate (1,000CY MAXIMUM)...............$230.00 <br />PW Plan Review.....................................$20.00 <br />PW Site Inspection..............................$20.00 <br /> <br /> <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 />Page 1 of 2 <br /> <br />___APPLICANT/JOB SITE COPY ___ADDRESS FILE ___TREASURER <br /> <br />