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PUBLIeWORKS PERMIT • Date Applied: 2/24/2020 <br /> City of Everett Permit Services Public Works Permit#: PW2002-038 <br /> EVERETT 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $65.00 <br /> 1 2 MAR 2020 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> De Holbroon-SC Fuels Howard Small <br /> 1800 W. Katella Ave,Suite 400 106 W.Webb Avenue <br /> Orange,CA,92867 Springdale,WA,99173 <br /> PHONE:7145167273 PHONE:2084078926 <br /> TAX PARCEL ID#:00593565200100 SITE ADDRESS:3217 HEWITT AVE <br /> DESCRIPTION:Well in Hewitt for SC Fuels <br /> Drill and install groundwater monitoring well in center turn lane of Hewitt Avenue for environmental investigation. <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 and <br /> 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 /> 3. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of Everett dated <br /> 03/10/2020. <br /> 4. Any damage to City improvements(sidewalk,curb, roadway,etc.)shall be replaced per City Standards and/or as directed by the <br /> City PW Inspector. <br /> 5.Street restoration must be done per COE Standard Drawing#326 and trench restoration per#614,or as directed by the City PW <br /> Inspector. Permanent restoration must be completed within 2 weeks of completion of utility work. <br /> 6. Full lane width grind and overlay is required for trenches greater than 100'in length, multiple cuts within a 100' length section, <br /> and/or as directed by the City PW Inspector. <br /> 7. A minimum of 5ft separation between City of Everett utilities and directional boring/pavement cuts shall be maintained. <br /> 8. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally <br /> request all required inspections. Inspections are required for job start notification, potholing all City utilities,evaluation of traffic <br /> control set-up,to view the work prior to backfill,and after final restoration to final the permit. <br /> 9. Potholing required for all crossings over/under City of Everett water mains. <br /> 10. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. <br /> 11. Noise from temporary construction sites is not allowed 10:00PM—7:00AM weekdays,6:00PM—8:00AM weekends unless a <br /> variance has been issued.Construction projects wishing a variance from the noise ordinan P�" A• . ion at least 30 <br /> days prior to commencing work. Please visit the following website for more information ht 6+r Afelz A Noise- <br /> Administration MAR 12 2020 <br /> Public Works Permit Fee Breakdown: <br /> Minor Paving for Monitoring Wells $45.00 CITY OF EVERETT <br /> PW Site Inspection $20.00 Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages,costs,expenses,or <br /> 634c, /.jam i causes of action that may arise because of installation and maintenance of <br /> the improvement or other right-of-way use here to applied for and further <br /> Approved for Construction (Public Works) Date <br /> agrees to remove same upon notice from the City and to replace public <br /> 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 COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br />