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PUBLIC WORKS PERMIT Date Applied: 6/28/2022 <br /> City of Everett Permit Services <br /> Public Works Permit#: PW2206-018 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> EVERETT <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $435.34 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FLEET REAL ESTATE LLC JEFF KIESZ <br /> 9720 SHARON DR <br /> EVERETT,WA,98204-2652 <br /> PHONE: PHONE:2063482347 <br /> TAX PARCEL ID#:00539900300603 SITE ADDRESS:7511 BEVERLY BLVD <br /> DESCRIPTION: NEW REGULATOR STATION/20OFT OF 4 IN AND 6 IN MAIN <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All calls for inspection shall be made 24 hours in advance. <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 <br /> 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 required <br /> 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 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 pw.everettwa.gov and requires a traffic control plan to be submitted for the <br /> 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 <br /> 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br /> 13. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires use of the <br /> right-of-way for municipal purposes. <br /> 14. A minimum of 5ft separation between City of Everett utilities and directional boring/pavement cuts shall be maintained. <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control..................................................$200.00 <br /> Grade/Fill/Excavate(160CY)................................$70.00 <br /> Paving(300SF).....................................................$45.00 <br /> PW Plan Review...................................................$20.00 <br /> PW Site Inspection...............................................$20.00 <br /> Stormwater System Development Fee................$80.34 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to hold and save harmless the City of Everett from any <br /> and all claims for damages,costs,expenses,or causes of action that <br /> may arise because of installation and maintenance the <br /> 06/30/2022 improvement or other right-of-way use here to applied for and further <br /> agrees to remove same upon notice from the City and to replace <br /> Approved for Construction, Public Works Dept. Date public property damaged thereby. <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 PERMIT MAYBE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br /> APPLICANT/JOB SITE COPY TREASURER ADDRESS FILE <br />