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PUBLIC WORKS PERMIT Date Applied: 3/4/2022 <br /> City of Everett Permit Services Public Works Permit#: PW2203-005 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: B2104-073 <br /> EVERETT <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $172.57 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HALLE MATHEWOS T/ASFAW KIDIST M/HANNA SI MARTIN REIMERS <br /> 7711-B BEVERLY BLVD <br /> EVERETT,WA,98203-6718 <br /> PHONE: PHONE:4253778786 <br /> TAX PARCEL ID#:00393900200402 SITE ADDRESS:7711 BEVERLY BLVD#B <br /> DESCRIPTION:SITE WORK FOR AFH <br /> REMOVE UNPERMITTED GRAVEL/PARKING AREA FROM THE FRONT 20-FOOT SETBACK AREA AND PERMIT THE REMAINING GRAVEL <br /> PARKING AREA RETROACTIVELY. <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 <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 Civil Work to be done per plans approved by the City of Everett Public Works Department.Approved plans must remain on job- <br /> 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 <br /> request all 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 per the direction of the PW Inspector or 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 easements <br /> and the improvements located therein. <br /> 11.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 <br /> have been completed. <br /> Public Works Permit Fee Breakdown: <br /> Paving(327SF Gravel)..........................................................$45.00 <br /> PW Plan Review...................................................................$20.00 <br /> PW Site Inspection...............................................................$20.00 <br /> Stormwater System Development Fee(327SF)...................$87.57 <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 of the <br /> �� 3/4/2022 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 />