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PUBLIC WORKS PERMIT <br />City of Everett Permit Services <br />E V E R E T T 3200EveCedar <br />rett, WA 98201 Floor <br />WAS H I N GTO N everettwa.gov/permits <br />PermitServices@everettwa.gov <br />Date Applied: 3/30/2022 <br />Public Works Permit #: PW2203-033 <br />Associated Bldg Permit #: #: <br />Planning Reference #: <br />Public Works Fee: $5583.67 <br />Schedule Inspections at: onlinepermits.everettwa.gov <br />• Lot 3 roof runoff shall discharge to a bioretention cell with a curtain drain per the approved plans. State the <br />maximum roof area discharging to the bioretention cell. <br />• The driveways for each lot shall be permeable pavement per approved plans. <br />• A Declaration of Covenant shall be recorded for each lot. <br />• A Declaration of Covenant shall be recorded for the bioretention cell tract receiving runoff from the private road. <br />Public Works Permit Fee Breakdown: <br />Erosion Control..........................................$110.00 <br />Grade/Fill/Excavate(1200CY)....................$245.00 <br />Paving (5,473SF)..........................................$45.00 <br />PW Plan Review......................................$1,239.30 <br />PW Site Inspection..................................$2,478.60 <br />Stormwater System Development Fee ... $1,465.77 <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 2 of 2 <br />APPLICANT/JOB SITE COPY ___ADDRESS FILE __TREASURER <br />