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PUBLICUORKS PERMIT Date Applied: 7/31/2019 <br /> City of Everett Permit Services Paint. uuurks Permit#: PW1907-053 <br /> EVERETT 3200 Cedar Street, 2nd Floor Everett, WA 98201 Associated Bldg Permit#: <br /> Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $470.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SKOTDAL HOLDINGS LLC SKOTDAL BROS LLC <br /> 2707 COLBY AVE STE 1200 PO BOX 5267 <br /> EVERETT, WA,98201 EVERETT,WA, 98206 <br /> PHONE:4252525400 PHONE:4252525400 <br /> TAX PARCEL ID#:00439162001700 SITE ADDRESS: 2730 W MARINE VIEW DR <br /> DESCRIPTION:TEMPORARY FILL&GRADING, NOT TO EXCEED 1,000 CY. <br /> NOTE:To allow the stockpiling of more than 1,000 cubic yards, a SEPA checklist and an additional public works permit will be required, <br /> which shall show a plan for how the fill will be finished on the site with final grades, and a description of how the fill area will be used in <br /> the future. Once the coverage exceeds 1 acre of disturbance, it is the applicant/contractor's responsibility to ensure coverage under <br /> Ecology's Construction Stormwater General Permit is obtained, and maintained throughout the entire construction duration. Coverage <br /> will be required with the public works permit to exceed 1,000 cubic yards of fill. <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 and Construction SWPPP approved by the City of Everett Public Works Department dated <br /> 8/1/2019.Approved plans must remain on job-site at all times. <br /> 5. Fill under this permit is not to exceed 1,000 cubic yards. In order to place additional fill,a SEPA will need to be applie 'for thr© igh <br /> the Planning Department and once a SEPA Determination is issued,a separate Public Works Permit shallVelapplied for„-apprgved, and <br /> issued by the City of Everett for additional fill to be placed in accordance with the SEPA Determinaticlvr- '.F 'P. == <br /> 6. Fill shall not be placed on existing concrete foundation as a permanent condition. Foundation sell beAri andtemoved if <br /> final grading is to be placed in that area. <br /> 7. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov tb orrl i;ll j; <br /> request all required inspections.An Inspection Handout is provided at permit issuance with instructions on how to request ar4 <br /> inspection online. i <br /> 8. Install and maintain erosion control measures per City of Everett Standards, approved SWPPP,and er the direction of the P i:bjic <br /> Works Inspector. Remove upon completion of the project prior to final approval of the permit. 0 <br /> 9. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. .3' �`3 Ej; <br /> 10. This permit must be finaled in order to close out this permit. Request a final inspection onl' '�� riai al witkith the <br /> Online Permitting Portal Inspection Requests when all items have been completed for this per va _; <br /> AUG 0 2 2019 <br /> Public Works Permit Fee Breakdown: <br /> Erosion Control $200.00 <br /> Grade/Fill/Excavate(1,000CY MAXIMUM) $230.00 CITY OF EVERETT <br /> PW Plan Review $20.00 Permit Services <br /> PW Site Inspection $20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> �n Q �J� The undersigned owner/applicant hereby agrees to hold and save harmless <br /> �V(� U / LV� the City of Everett from any and all claims for damages,costs,expenses,or <br /> 9 causes of action that may arise because of installation and maintenance of <br /> r the improvement or other right-of-way use here to applied for and further <br /> Approved for Construction (Public Works) at agrees to remove same upon notice from the City and to replace public <br /> property damaged thereby. <br /> FINAL INSPECTION Date y/Jl 2 - } <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 /> FILE <br />