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PUBLIC —ORKS PERMIT irate Applied: 10/12/2017 <br /> Public Works Permit#: PW1710-020 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SUMMERLYN GROUP INC DAVE BECK <br /> PO BOX 1541 PO BOX 1541 <br /> MUKILTEO,WA, 98275 MUKILTEO, WA, 98275 <br /> PHONE: PHONE: 4255089663 <br /> TAX PARCEL ID#: 00459700100201 SITE ADDRESS: 1409 126TH ST SE <br /> DESCRIPTION: UTILITY IMPROVEMENTS FOR COUNTY SHORT PLAT <br /> THIS PERMIT IS FOR CONSTRUCTION WORK RELATED TO THE CONNECTION OF SILVERLAKE SEWER EXTENTION <br /> TO THE CITY OF EVERETT SEWER MAIN WITHIN THE CITY PORTION OF THE 126TH ST SE RIGHT OF WAY. <br /> HOPKINS SHORT PLAT <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. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 03/164017:-;; <br /> Approved plans must remain on job-site at all times. <br /> T _fY:'�' <br /> ==' <br /> 5. Connection of the new sewer main to the City manhole to be done as shown ofn the appro`. dt <br /> d avi7 <br /> 6. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting constructtgn for a <br /> consultation, to evaluateTraffic control set-up, and with all other inspection requests. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Protect all existing underground utilities during construction. ' -'} <br /> F^•i <br /> Public Works Permit Fee Breakdown: '•}0 n' ' <br /> Misc. Minor Permits(Drainage Work) $25.00 °`' rE. <br /> °' ' E= r, <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <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 /> /19_/6 /7 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 /> Ap roved for Construction (Public Works) 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 All1'4& . <br /> Approved as Constructed (PW Inspector) Sign, ure of Applicant rate <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 />