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PUBLIC WORKS PERMIT <br />City of Everett Permit Services <br />3200 Cedar Street, 2nd Floor <br />EV E R E T T <br />Everett, WA 98201 <br />everettwa.gov/permits <br />WASHINGTON <br />PermitServices@everettwa.gov <br />OWNER NAME AND ADDRESS: <br />BUSTARD CUSTOM CONSTRUCTION INC <br />13016 107TH ST NE <br />LAKE STEVENS, WA 98258 <br />PHONE: <br />Date Applied: 4/26/2024 <br />Public Works Permit #: PW2404-054 <br />Associated Bldg Permit #: B2310-114 <br />Planning Reference #: <br />Public Works Fee: $882.00 <br />Schedule Inspections at: onlinepermits.everettwa.gov <br />APPLICANT NAME AND ADDRESS: <br />BUSTARD CUSTOM CONST INC <br />PO BOX 1243 <br />MARYS, WA 98270 <br />PHONE: 4258766551 <br />SITE ADDRESS: 9540 HOLLY DR TAX PARCEL ID #: 00378700200600 <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />DESCRIPTION: SITE WORK FOR NEW RESIDENTIAL BLDG LOT#6 <br />PERMIT CONDITIONS: <br />1. All inspections shall be scheduled online at https://onlinepermits.everettwa.gov. Available inspection dates are shown in the dropdown menu. <br />2. All work shall be performed in accordance with the permit and current City of Everett 'Design and Construction Standards and Specifications for <br />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 -site at all times. <br />5. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at onlinepermits.everettwa.gov to formally request all <br />required inspections. <br />6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector and the approved <br />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 City PW Inspector. <br />10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on -site in a <br />manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the improvements located <br />therein. <br />11. Prior to any interruption to the public right-of-way (roadways, parking lanes, or sidewalks) a Traffic Street Use permit shall be obtained from the <br />City's Traffic Engineering Division. This permit can be applied for online at onlinepermits.everettwa.gov and requires a traffic control plan to be <br />submitted for the area of requested closure. Please allow 1-2 weeks for TSU permit issuance from the date of application. <br />12. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection online by selecting PW 25- <br />Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br />13. All work constructed within the public right-of-way must be removed or relocated at the owner's expense if the City ever requires use of the right- <br />of-way for municipal purposes <br />PERMIT FEE BREAKDOWN: <br />Erosion Control............................................................................$50.00 <br />Paving (554 SF)............................................................................$45.00 <br />PW Plan Review...........................................................................$20.00 <br />PW Site Inspection.......................................................................$20.00 <br />Stormwater System Development Fee (2,186 SF).....................$747.00 <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 claims for <br />damages, costs, expenses, or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use here to applied <br />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 permit may <br />be canceled by the 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 <br />open while work is active. <br />Page 1 of 1 <br />_APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />