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PUBLIAVORKS PERMIT I Date Applied: 9/9/2019 <br /> EilCity of Everett Permit Services Public Works Permit#: PW1909-040 <br /> E V E R E T T 3200 Cedar Street, 2nd Floor Associated Permit#: PW1907-053 a <br /> Everett, WA 98201 Planning Reference#: SEPA19-016 <br /> WASH INGTON 425-257-8810 Public Works Fee: $1,712.80 <br /> i1 0 SEP 2019 <br /> (Permit Conditions Continued) <br /> 11. Keep City streets clean at all times. No dirt, mud, rocks,or debris to be tracked onto roadway. <br /> 12. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will <br /> be managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way <br /> and/or easements and the improvements located therein. <br /> 13. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to <br /> formally request all required inspections.An Inspection Handout is provided at permit issuance with instructions on how <br /> to request an inspection online. <br /> 14. This permit must be finaled in order to close out this permit. Request a final inspection online by selecting PW-Site <br /> Final within the Online Permitting Portal Inspection Requests when all items have been completed for this permit. <br /> Public Works Permit Fee Breakdown: <br /> Grade/Fill/Excavate (12,000CY) $445.00 <br /> Retaining Wall (586' long by up to 28'tall) $1,227.80 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> iTi <br /> 74, .C"a <br /> --1 v <br /> = ' <br /> r..., :43 'S- <br /> ri" <br /> C., rn I--.,r-.-F %--• <br /> c-3 al <br /> Lam= <br /> I r'` <br /> SEP 102Q , <br /> rl t• ^--I <br /> CITY OF EVE1�E�T =-'•@ � ` ' <br /> Permit Services :'' a q:e'Ce a1' <br /> r- <br /> -;t <br /> t---= <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> , 41y7/thitc <br /> `/Il / /9 causes of action that may arise because of installation and maintenance of/ L ( the improvement or other right-of-wayuse here to applied for and further <br /> Approved for Construction (Public Works) D toO p pp <br /> agrees to remove same upon notice from the City and to replace public <br /> property damaged thereby. ,mot / <br /> FINAL INSPECTION Date 1 —/ �® ! 9 <br /> '~-;A'ppraved asCorlsfructed (PW Inspector) Signature of Applicant Date <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 MAY BE 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 />