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PUBLICIORKS PERMIT <br /> —Date Applied: 6/20/2018 <br /> City of Everett Permit Services Public Works Permit#: PW1806-036 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $115 <br /> 0 9 J U L 2018. <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NATE MAJLESY NATE MAJLESY <br /> 109 2nd ST S. #531 109 2nd ST S. #531 <br /> KIRKLAND, WA, 98033 KIRKLAND, WA, 98033 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: 00436979200900 SITE ADDRESS: 3317 WETMORE AVE <br /> DESCRIPTION: DIRECTIONAL BORING IN THE ALLEY <br /> a� <br /> (6/20/2018 3:38 PM BES) JUL Q 9 20/8 bi <br /> INSTALL CONDUIT FOR POWER, CATV, AND PHONE ACROSS ALLEY. <br /> CIPSYrE <br /> mfr S EJ <br /> erV, 7'7' <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALLIIMES <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 coordinated with the neigborhood. Put traffic control signs on each end of the alley in accordance <br /> with the approved MUTCD Standards. • <br /> 5. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City of Everett Standards and as <br /> directed by the City Public Works Inspector. <br /> 6. Street restoration must be done per City of Everett standard#316 and trench restoration per standard#610 or as directed <br /> by the City Public Works Inspector. <br /> 7. Full lane width grind and overlay will be required for trenches greater than 100' in length, multiple cuts within a 100' <br /> length section, and/or as directed by the Public Works Inspector. <br /> 8. There should be at least a minimum of 5ft separation between City of Everett utilities and directional boring/pavement <br /> cuts. <br /> 9. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction, potholing <br /> to evaluate traffic control set-up, and with other inspection requests. <br /> 10. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. <br /> 11. Protect exisitng underground utilities including sewer main and storm catch basins in alleys. <br /> Public Works Permit Fee Breakdown: <br /> Cut/Bore Street/Alley Non-Parallel (25 LNFT) $75.00 <br /> PW Plan Review $20.00 <br /> PW Site • pection $20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> traw <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> C j / harmless the City of Everett from any and all claims for damages,costs, <br /> �..,._ _ O6 2 - r /1 expenses,or causes of action that may arise because of installation and <br /> � maintenance of the improvement or other right-of-way use here to applied <br /> Aopre -d for Construction (Public orks) date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) 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 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 />