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PUBLIC WORKS PERMIT Date Applied: 11/1/2022 <br /> City of Everett Permit Services Public Works Permit#: PW2211-002 <br /> 3200 Cedar Street, 211 Floor Associated Bldg Permit#: #: B2205-038 <br /> E V E R E T T <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON everettwa.gov/permits Public Works Fee: $226.39 <br /> Perm itSeryices@eve rettwa.goy Schedule Inspections at:onlinepermits.everettwa.gov <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> RICHARDS TARA&CROSBY DANIEL TARA RICHARDS <br /> 5306 ROCKEFELLER AVE <br /> EVERETT,WA 98203 <br /> PHONE:4253443413 PHONE:4253443413 <br /> SITE ADDRESS:5306 ROCKEFELLER AVE TAX PARCEL ID#:00495800601703 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> DESCRIPTION:SITE WORKD FOR DETACHED GARAGE(REMOVE&REPLACE CONC PAD) <br /> NOTES: <br /> PERMIT CONDITIONS: <br /> 1. All inspections shall be scheduled online at https://onIinepermits.everettwa.gov.Available inspection dates are shown in the dropdown <br /> menu. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications <br /> 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 approved by the City of Everett Public Works Department.Approved plans must remain on job-site at <br /> 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 <br /> request all required inspections.A handout is provided at permit issuance with instructions on how to request an inspection online. <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 <br /> Inspector. <br /> 10. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on- <br /> site in a manner that does not adversely affect neighboring properties,including the City's right-of-way and/or easements and the <br /> 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 <br /> from the City's Traffic Engineering Division.This permit can be applied for online at onlinepermits.everettwa.gov and requires a traffic <br /> control plan to be 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 <br /> selecting PW 25-Site Final/Permit Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review....................................................... $20.00 <br /> PW Site Inspection.................................................. $20.00 <br /> Stormwater System Development Fee(696 SF)........ $186.39 <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 <br /> claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right- <br /> of-way use 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 <br /> 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 />