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PUBLIC WORKS PERMIT Date: 12/2/2016 <br /> Public Works Permit#: PW1612-011 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: B1611-042 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 1,828.71 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> COLBY PROPERTY MANAGEMENT LLC COLBY PROPERTY MANAGEMENT LLC <br /> 2627 EASTLAKE AVE E 2627 EASTLAKE AVE E <br /> SEATTLE WA 98102 SEATTLE WA 98102 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00582202100600 SITE ADDRESS: 4220 COLBY AVE <br /> SITE WORK FOR NEW MULTI-FAMILY <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. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> rn —In <br /> 4. Site Civil Work to be done per Civil Plans and Stormwater Management �- �- 7-1jai . 1� <br /> Questionnaire, approved (as noted) by the City of Everett Public Works Department --+ . w <br /> C")-1 .1? K: <br /> dated 4/28/2017. Approved plans must remain on job-site all all times. .. 5r, <br /> 5. Contact the Cityof Everett Public Works Inspector RandyAllen at 425-339-7403prior c ~"r' [�I <br /> P R.rnm '- �-'-. <br /> to starting construction to schedule a pre-construction consultation and with other `' 1V; .0 <br /> inspection requests throughout the constuction duration. This permit must be finaled at I-•. t 9 ; V) <br /> the end of the project. iF,i ,, 4=, <br /> 6 <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and :Ifr <br /> remove upon completion of the project prior to final approval of the permit. OD i--., 0 <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto r° .} at <br /> roadway. ;,a, 0 r-, .�• `- Z <br /> 8. Protect all existing underground utilities during construction. �'-} ...0 e=:'„'1 P <br /> 9. The Water Department will make all connections to the water main. Contact the I x`:3' N ' <br /> Water Department after picking up your separate utility permits (per cost estimates)to ._{a`-` E..� <br /> schedule the work several weeks in advance. 1--.c.:.- <br /> cdoo <br /> Public Works Permit Fee Breakdown: C <br /> Grading/Fill/Excavate (240CY) $90.00 a <br /> Paving (5047SF) $45.00 <br /> PW Plan Review $564.57 <br /> PW Site Inspection $1,129.14 ACKNOWLEDGEMENT OF CONDITIONS <br /> c�j c f The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> l� .7 1 O� City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Dat improvement or other right-of-way use hereto applied for and further agrees to <br /> pp remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date 0`--�f--/ <br /> Approved as Constructed 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 <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> Fit <br />