3200 20TH ST SPRINT ANTENNA 2019-11-15

PUBLIC ORKS PERMIT =ate Applied: 1/3/2018 City of Everett Public Works Department Public Works Permit#: PW1801 003 3200 Cedar Street Associated Building Permit#: B1712-008 Everett,WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee: $110.00 10 APR 2018 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: STATE OF WASHINGTON DEPT OF TRANS STATE OF WASHINGTON DEPT OF TRANS PO BOX 330310 PO BOX 330310 SEATTLE, WA, 98133 SEATTLE, WA, 98133 PHONE: PHONE: TAX PARCEL ID#: 00563241100100 SITE ADDRESS: 3200 20TH ST DESCRIPTION: TRENCHING AND CONCRETE PAD FOR SITE EQUIPMENT THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications for Development'. 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 1/3/2018. Approved plans must remain on job-site at all times. 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests. 6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector. Remove upon completion of the project prior to final approval of the permit. 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. 8. Protect all existing underground utilities during construction. 9. Concrete slab formwork must be inspected by the Public Works Inspector prior to pouring concrete. 10. Trench work must be inspected by the Public Works Inspector prior to backfill. 11. It is the owner/applicant/contractor's responsibility to schedule all required inspections. Public Works Permit Fee Breakdown: Paving (Concrete slab) $45.00 a OD Misc. Minor Permits (Utility Trench) $25.00 PW Plan Review $20.00 PW Site Inspection $20.00 MAR 01 2018 CITY OF EVEREST Permit Services City of Everett Oficial Use Only ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save )cutiatvu %...4.41t6110_ harmless the City of Everett from any and all claims for damages,costs, //3/201: expenses,or causes of action that may arise because of installation and maintenance of the improvement or other right-of-way use here to applied Approved for Construction (Public Works) te for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. )> FINAL INSPECTION Date /`�" t `7—1 1--1 g Approved as Constructed (PW Inspector) ignature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAT PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION.