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PUBLIC WORKS PERMIT Date Applied: 3/2/2025 <br /> City of Everett Permit Services Public Works Permit#: PW2503-001 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: E2503-001 <br /> EV E R E T T Everett, WA 98201 Planning Reference#: <br /> everettwa.gov/permits Public Works Fee: $65.00 <br /> WASHINGTON PermitServices@everettwa.gov Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Village By The Lake COA NORTH LAKE ELECTRIC LLC <br /> 820 Cady Road 2215 PARK AVE <br /> Everett,WA 98203 SNOHOMISH,WA 98290 <br /> PHONE:9096304003 PHONE: 2064078884 <br /> SITE ADDRESS:820 CADY RD TAX PARCEL ID#:00693200110100 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION:Asphalt cut and repair <br /> NOTES:For Electrical Conduit Installation <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. Maintain a minimum of 5 ft.separation between City of Everett utilities and pavement cuts/trenching. <br /> 5. Coordinate with impacted homeowners to minimize obstruction of access. <br /> 6. 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 /> 7. Underground utility work shall comply with section 3-9 of the City of Everett's Design and Construction Standards and Specifications. <br /> 8. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector. Remove upon completion of <br /> the project prior to final approval of the permit. <br /> 9. Catch basins and/or inlets within 200 feet of the work shall be protected from debris and runoff per City of Everett Std.Dwg.208. <br /> 10. Trenching shall be completed in accordance with City of Everett Std.Dwg.614. <br /> 11. Pavement patching shall be constructed per City of Everett Std.Dwg.326. <br /> 12. Keep City streets clean at all times. No dirt,mud,rocks,or debris to be tracked onto roadway. <br /> 13. Protect all existing underground utilities during construction. <br /> 14. It is the applicant/owner's responsibility to ensure that stormwater runoff from replaced impervious surfaces will be managed on-site in a manner <br /> that does not adversely affect neighboring properties,including the City's right-of-way and/or easements and the improvements located therein. <br /> 15. 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. TSU permits are not <br /> required on private roadways. See condition 5. <br /> 16. This permit must be finaled to close out this permit.Request a final inspection online by selecting PW 25-Site Final/Permit Close Out within the <br /> Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br /> PERMIT FEE BREAKDOWN: <br /> Miscellaneous Minor Permits......................................................$25.00 <br /> PW Plan Review...........................................................................$20.00 <br /> PW Site Inspection.......................................................................$20.00 <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 <br /> all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other <br /> right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property damaged <br /> 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. <br /> This permit may be canceled by the city upon any stoppage of work on this project over 180-day duration.Each inspection extends the expiration <br /> date 180 days to keep the permit open while work is active. <br /> Page 1 of 1 <br /> —APPLICANT/JOB SITE COPY _ADDRESS FILE _TREASURER <br />