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PUBLIC WORKS PERMIT Date Applied: 3/8/2023 <br /> City of Everett Permit Services Public Works Permit#: PW2303-003 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> EV E R E T T Everett, WA 98201 Planning Reference#: <br /> WASHINGTON everettwa.gov/permits Public Works Fee: $218.90 <br /> PermitServices@everettwa.gov Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NGUYEN VAN VUONG & HOANG SUONG NGUYETAN VUONG NGUYEN <br /> 1414 108TH ST SW <br /> EVERETT,WA 98204-3773 <br /> PHONE: PHONE: 2067926826 <br /> SITE ADDRESS: 1414 108TH ST SW TAX PARCEL ID#:00442800000700 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION: PAVE OVER AND EXPAND EXISTING DRIVEWAY TO ABATE CE23-0138 <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 Specifications <br /> 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 <br /> 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 <br /> formally request all required inspections.A handout is provided at permit issuance with instructions on how to request an inspection <br /> online. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector and the <br /> approved 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 <br /> City PW Inspector. <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or <br /> easements and the improvements located therein. <br /> 11..This permit must be finaled in order to close out this permit. Request a final inspection online by selecting PW 25-Site <br /> Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br /> Public Works Permit Fee Breakdown: <br /> Paving(500 SF)............................................$45.00 <br /> PW Plan Review..........................................$20.00 <br /> PW Site Inspection......................................$20.00 <br /> Stormwater System Development Fee.....$133.90 <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 all <br /> claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right- <br /> of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged 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.This <br /> permit may be canceled by the city upon any stoppage of work on this project over 180-day duration.Each inspection extends the expiration date <br /> 180 days to keep the permit open while work is active. <br /> Page IofI <br /> APPLICANT/JOB SITE COPY ADDRESS FILE TREASURER <br />