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PUBLICIVORKS PERMIT I II Date Applied: 1/10/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1801 023 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: PREAPP17-013 <br /> f (425) 257-8810 Public Works Fee: $25.00 <br /> 1 0 JAN to <br /> OWNER NAME AND ADDRESS: AP LICANT NAME AND ADDRESS: <br /> GASWINT J W CORNERSTONE HOMES NW LLC <br /> 3120 GLACIER PEAK AVE 13805 SMOKEY PT BLVD STE 101 <br /> EVERETT, WA, 98208 MARYSVILLE, WA, 98271 <br /> PHONE: PHONE: 3606599444 <br /> TAX PARCEL ID#: 00436800003800 SITE ADDRESS: 600 54TH ST SW <br /> DESCRIPTION: TEST HOLES FOR GETECH EVALUATION <br /> SOILS TO BE REFILLED IN LOCATIONS IN WHICH THEY ARE EXCAVATED FOR EXPLORATION. <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 exploratory work to be done per plans approved by the City of Everett Public Works Department dated 1/10/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a <br /> consultation, and with all other inspection requests. <br /> 6. Install and maintain erosion control measures per City of Everett Standards or as directed by the PW frtsper. move <br /> 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. i 4- <br /> 8. Protect all existing underground utilities during construction. • <br /> 9. Protect all environmentally sensitive areas during construction. <br /> 10. Permit scope limited to exploration shown on plans and as described by this permit. <br /> Public Works Permit Fee Breakdown: (14r <br /> Misc. Minor Permits (Drainage Work) $25.00 ly. <br /> ;.T1 <br /> t <br /> .7.1 v�'S c.✓.7 <br /> S. n b :f 7; <br /> 'a h`vud C;a 1-9 i <br /> 1-4 <br /> —7 <br /> City ofEvere. Oficial Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> I r , II <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 /> ,, / / �p�( III/Oil? expenses,or causes of action that may arise because of installation and <br /> Ulll�` v maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) for and further agrees t. -move same upon notice from the City and to <br /> replace public pro e da '.ged thereby. <br /> �AFINAL INSPECTION Date o • <br /> Approved as Constructed (PW Inspector) Signatu'I-�.f Ape icant bate <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 />