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PUBLICIORKS PERMIT Date Applied: 1/30/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1801-056 <br /> 3200 Cedar Street Parent Permit#: D1801-001 <br /> " f M Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $65.00 <br /> 01 MAR 2018, <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EVERTRUST [AppName] <br /> 9532 SW 0 RD [AppAdd] <br /> ROYAL CITY, WA, 99357 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> TAX PARCEL ID#: 00439149001701 SITE ADDRESS: 1611 24TH ST <br /> DESCRIPTION: SITE WORK ASSOCIATED WITH SFR DEMO <br /> TESC plan, construction fencing, rough grading, compaction, final grading, traffic control plan. <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 Demo Work to be done per plans approved by the City of Everett Public Works Department. Approved plans must <br /> remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting constructs foggy <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other insp-e'ctioh-'requestg.'- <br /> 6. Install and maintain erosion control measures per City of Everett Standards d approved; '#? il?aw Rerpcveupon <br /> completion of the project prior to final approval of the permit. `y''= <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. `=='«t"r' ;r, <br /> 8. Protect all existing underground utilities during construction. <br /> I ^Y <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits $25.00 P ' <br /> PW Plan Review $20.00co <br /> PW Site Inspection $20.00 <br /> h.•-v i.—'.[;Y..7 •t Fi ::i::Y aE:ris•FS•ib did2• .... <br /> shid {-.._1:.::7 w Y :..:Y:. Y .::;:Y::•B <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 /> gym' <br /> DD r expenses,or causes of action that may arise because of installation and <br /> 77 Gv maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Dat 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 /> fe <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 />