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PUBLIC WORKS PERMIT Date Applied: 8/29/2024 <br /> City of Everett Permit Services Public Works Permit#: PW2408-021 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> EV E R E T T Everett, WA 98201 Planning Reference#: <br /> everettwa.gov/permits Public Works Fee: $191.37 <br /> WASHINGTON Perm itSeryices@eyerettwa.goy Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Donna Dequina & Miguel Gavino Lisa Healy <br /> 4925 27th Ave W 2525 S Graham St <br /> Everett,WA 98203 Seattle,WA 98108 <br /> PHONE: 6199817842 PHONE: 2069538286 <br /> SITE ADDRESS:4925 27TH AVE W TAX PARCEL ID#:00567900100505 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION: REMOVE/REPLACE 356 SF OF EXISTING ASPHALT/CONCRETE AREA <br /> NOTES: REMOVE EXISTING CONCRETE WALKWAY&STEPS BETWEEN CARPORT& MAIN HOME ENTRY AND REPLACE WITH CONCRETE <br /> RAMPS, LANDING AND STEP("283 SF REMOVED/REPLACED CONCRETE AREA). REMOVE EXISTING ASPHALT RAMP IN NW CORNER OF <br /> SITE AND PROVIDE NEW CONCRETE LANDING &RAMP(-73 SF REMOVED ASPHALT&NEW CONCRETE AREA) FOR ACCESS FROM THE <br /> 27TH AVE W TO THE LOWER PATIO AREA <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 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 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. A Declaration of Covenant for Stormwater BMPs shall be submitted to the City prior to final approval/close out of the permit. <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 /> Paving(356 SF).......................................................................$45.00 <br /> PW Plan Review......................................................................$20.00 <br /> PW Site Inspection.................................................................$20.00 <br /> Stormwater System Development Fee(356 SF) ..................$106.37 <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 /> _APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />