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PUBLIC WORKS PERMIT Date: 10/3/2014 <br /> Public Works Permit#: PW1410-003 <br /> City of Everett Public Works Department:,_....7,,,1 3200 Cedar Street Parent Permit#: B1306-029 <br /> •�,, _ <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 11,743.70 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> INTEGRAL NORTHWEST PONTAK JAMES <br /> 8115 BROADWAY STE 204 8115 BROADWAY <br /> EVERETT WA 98203 EVERETT WA 98203 <br /> PHONE: PHONE: 2062954869 <br /> TAX PARCEL ID# 28051800400300 SITE ADDRESS: 1610 SE EVERETT MALL WAY <br /> SITE DEVELOPMENT FOR ANTHEM SELF STORAGE <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 17,9 —{,:__; <br /> xi C-) <br /> ---, r--.l-•I-,l---.1-,r-`1--` r d <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Publice\ly kk -• - 'r,c&.i r,-) <br /> Department includingoutfall revision dated 05/06/2015. m C"'�`'cr)Ccr)i :=) 44 <br /> r--4 CO• Cr)rn M1 '=i <br /> M. <br /> 5. Keep the city streets clean at all times. ) . <br /> 6. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7714 `M 1—`° +� <br /> prior to starting construction and with other inspection requests. See attached to'request 3 <br /> an inspection. L`t <br /> 7. The contractor shall perform routine inspection and maintenance of all inst 1 d K ',�:.. ' :;. ,• ,g <br /> Ch1,moi o'.=C r1 r\.)��--•1..C.r•.s�5-•. �A <br /> erosion and sediment control BMPs, especially after storms. :�,P a ��,, ,a ,, ,�. L� �•, L,,0 <br /> 4',-A Uri <br /> UT) <br /> I•--`r <br /> Eno <br /> Public Works Permit Fee Breakdown: CiOn <br /> Asphalt Paving $125.95 0 <br /> PW Plan Review $3872.58 <br /> PW Site Inspection $7745.17 p"I <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> ,Q� City of Everett from any and all claims for damages,costs,expenses,or <br /> /�.)`� „5--1P ^/s' causes of action that may arise because of installation and maintenance of the <br /> A ved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> App remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date '� / . <br /> Approved as Constructed pplican Da <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 />