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PUBLIC FORKS PERMITJate Applied: 11/15/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1811-028 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> 10411144a- Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $45.00 <br /> 11 5 NOV 2010 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> COLUMBIA CASCADE PLAZA LLC EMERALD FIRE LLC <br /> PO BOX 790830 11021 CRAMER RD KPN <br /> SAN ANTONIO, TX, 78279-0830 GIG HARBOR, WA, 98329 <br /> PHONE: PHONE: 2536061217 <br /> TAX PARCEL ID#: 28050700300100 SITE ADDRESS: 7601 EVERGREEN WAY <br /> DESCRIPTION: Replace DDCVA <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 <br /> and 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 approved by the City of Everett Public Works Department dated 11/15/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 for inspection. All inspections ij.,uist be <br /> formally requested. See the attached handout for phone number and online instructions to Request an Inspe4tion.. L <br /> 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. r...` w°^4 <br /> 7. Protect all existing underground utilities during construction. <br /> 8. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy all spaction line to <br /> request a Final for this permit when all items have been completed. r—'.'"'' `' <br /> rW <br /> Public Works Permit Fee Breakdown: ';'12- <br /> Misc. Minor Permits (Drainage Work) $25.00 <br /> r•.:r <br /> PW Site Inspection $20.00 <br /> C71 <br /> 41**'* •.- <br /> �• r•�r•. <br /> irD r•�Y Cs <br /> --i I— <br /> r•.a <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> expenses,or causes of action that may arise because of installation and <br /> «` /ZO 1 maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same ...n notice from the City and to <br /> replace puPlic prop) .am•.g-d they:• <br /> FINAL INSPECTION Date � A <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 <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />