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<br />Date Applied: 3/6/2020 <br />PUBLIC WORKS PERMIT <br /> Public Works Permit #: PW2003-007 <br />City of Everett Permit Services <br />nd <br /> Associated Bldg Permit #: <br />3200 Cedar Street, 2 Floor <br /> Planning Reference #: SPU19-005 <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 />CITY OF EVERETT MARK HARRISON <br />3200 CEDAR ST <br />EVERETT, WA 98201 , <br />PHONE: PHONE: 4252578378 <br />_______________________________________________________________________________________________________________________________________________ <br />SITE ADDRESS: 4817 RUCKER AVE TAX PARCEL ID #: 29053100401600 <br /> <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: SITE WORK FOR EMMA YULE PARK <br />NOTES: CONSTRUCT CITY PARK - REMOVAL OF SUBSOIL-EMMA YULE PARK <br />SITE WORK FOR EMMA YULE PARK <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 approved by the City of Everett Public Works Department dated 04/20/2021. Approved plans must <br />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 pw.everettwa.gov to formally request all <br />required inspections. A handout is provided at permit issuance with instructions on how to request an inspection online. <br />6. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon completion of the <br />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- <br />site 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 pw.everettwa.gov and requires a traffic control plan to <br />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 <br />selecting 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 />13. A <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 />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 /> <br />Page 1 of 2 <br /> <br />___APPLICANT/JOB SITE COPY ___ADDRESS FILE ___TREASURER <br /> <br />