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PUBLIC WORKS PERMIT Date Applied: 12/12/2024 <br /> City of Everett Permit Services Public Works Permit#: PW2412-009 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> EV E R E T T Everett, WA 98201 Planning Reference#: <br /> everettwa.gov/permits Public Works Fee: $411.89 <br /> WASHINGTON Perm itSeryices@eyerettwa.goy Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Christopher& Malissa Tack Christopher Tack <br /> 202 Madison St 202 Madison St <br /> Everett,WA 98203 Everett,WA 98203 <br /> PHONE:9893261488 PHONE:9893261488 <br /> SITE ADDRESS:202 MADISON TAX PARCEL ID#:00392000003205 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION: Repaving, New Paving,and Maintenance to extg gravel area <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 required <br /> 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 SWPPP/TESC Plan. <br /> 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 manner that <br /> does not adversely affect neighboring properties,including the City's right-of-way and/or easements and the improvements located 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 City's Traffic <br /> Engineering Division.This permit can be applied for online at onlinepermits.everettwa.gov and requires a traffic control plan to be submitted for the area of <br /> 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.Request a final inspection online by selecting PW 2S-Site Final/Permit Close Out within the <br /> 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-of-way for <br /> municipal purposes. <br /> PERMIT FEE BREAKDOWN: <br /> Paving(1094 SF) $45.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> Stormwater System Development Fee (1094 SF) $326.89 <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 <br /> for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use <br /> 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 180 <br /> days to keep the permit open while work is active. <br /> Page 1 of 1 <br /> _APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />