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PUBLIC *ORKS PERMIT -ate Applied: 9/24/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1809-040 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $85.00 <br /> 1 BEI 2016 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> LEE ROBERT D & KRISTI N APPLIED PROFESSIONAL SERVICES <br /> 901 GRAND 43530 SE NORTHBEND WAY <br /> EVERETT, WA, 98201 NORTH BEND, WA, 98045 <br /> PHONE: PHONE: 4258645547 <br /> TAX PARCEL ID#: 00553217300100 SITE ADDRESS: 901 GRAND AVE <br /> DESCRIPTION: POTHOLING FOR FOR ALVERSON STORMWATER PROJECT <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. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of <br /> Everett dated 09/25/2018. <br /> 5. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/or as <br /> directed by the City PW Inspector. r; —1.*A1 <br /> 6. Street restoration must be done per COE Standard Drawing#326 and trench restoration per#614 ' tat dir ted°.by the <br /> City PW Inspector. Permanent restoration must be completed within 2 weeks of completion oiikity1 <br /> 7. Full lane width grind and overlay is required for trenches greater than 100' in length, multi cuvlii a 4,0' length <br /> section, and/or as directed by the City PW Inspector. '± '_� <br /> 8. A minimum of 5ft separation between City of Everett utilities and directional boring/pavement cuts sha`1r be utaintRined. <br /> 9. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting constructibh, to6;r: <br /> evaluate traffic control set-up, with other inspection requests, and to final the permit. <br /> 10. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/acss. <br /> ccs <br /> CO <br /> Public Works Permit Fee Breakdown: Lti <br /> ® • <br /> Cut/Bore Alley/Pavement(Non-Parallel) (6LF) $45.00 <br /> anr•�r••FgP <br /> i pp�, <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 4 } -4:=Y,• <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 /> 9,11/ S expenses,or causes of action that may arise because of installation and <br /> G ! � maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Co struction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace pub• erty damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Sign. - Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE P 'IT 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 />