11400 EVERGREEN WAY 2020-01-13 - Laserfiche WebLink

PUBLICtORKS PERMIT Date Applied: 6/25/2018 City of Everett Permit Services Public Works Permit#: PW1806-039 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: B1806-041 Everett,WA 98201 Planning Reference#: (425)257-8810 Public Works Fee: $110.00 10 JAN '2019 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: WAL-MART REAL ESTATE BUSINESS TRUST BLACKE &VEATCH FOR ELECTRIFY PO BOX 8050 MS 0555 AMERICA BENTONVILLE, AR, 72712-8050 PHONE: PHONE: TAX PARCEL ID#: 00442900401402 SITE ADDRESS: 11400 EVERGREEN WAY DESCRIPTION: INSTALL 4 BAY ELECTRIC CAR CHARGING STATION. • 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 7/13/2018. Approved plans must remain on job-site at all times. 5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction for a consultation and to evaluate Erosion/Sedimentation control set-up. All inspections must be formally requested. See the attached handout for phone number and online instructions to Request an Inspection. 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. It is the applicant/owner's responsibility to ensure that stormwater runoff from new/replaced impervious surfaces will be managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way and/or easements and the improvements located therein. c 10. This permit must be finaled in order to close out this permit. Call the inspection Ii =v ;fir this permit when all items have been completed. JAN ' 0 2019 Public Works Permit Fee Breakdown: Paving (Asphalt(810SF), curbing (24LF)) $45.00 CITY OF EVERETT Misc. Minor Permits (Landscape& parking striping) $25.00 Permit Services PW Plan Review $20.00 PW Site Inspection $20.00 City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs, ? g. expenses,or causes of action that may arise because of installation and (� (44611Kmaintenance of the improvement or other right-of-way use here to applied Approved for Construction (Public Works) at for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. — FINAL INSPECTION Date C� Approved as Constructed (PW Inspector) Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE 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. VC-