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PUBLIC WORKS PERMIT Date Applied: 9/9/2019 <br /> City of Everett Permit Services <br /> Public Works Permit#: PW1909-040 <br /> 3200 Cedar Street, 2"d Floor Associated Permit#: PW1907-053 <br /> E V E R E T T <br /> Everett, WA 98201 Planning Reference#: SEPA19-016 <br /> WASHINGTON 425-257-8810 Public Works Fee: $1,712.80 <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,OOOCY)....................................$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 /> 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 /> causes of action that may arise because of installation and maintenance of <br /> Approved for Construction (Public Works) Date the 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 public <br /> property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (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 />