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PUBLICtORKS PERMIT Date: 11/16/2015 <br /> Public Works Permit#: PW1511-019 <br /> City of Everett Public Works Department <br /> a; , ; 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 85.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SNOHOMISH COUNTY PUD NO. 1 SNOHOMISH COUNTY PUD NO. 1 <br /> PO BOX 1107 PO BOX 1107 <br /> EVERETT WA 98206 EVERETT WA 98206 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00437863202800 SITE ADDRESS: 2716 VIRGINIA AVE <br /> NORTH PARKING LOT MODIFICATIONS-SNO PUD <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 <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 12/16/2014. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction i( <br /> and with other inspection requests. See attached to request an inspection. <br /> 6. It is the applicant/owner's responsibility to ensure that stormwater runoff from new impervious surfaces will be <br /> managed on-site in a manner that does not adversely affect neighboring properties, including the City's right-of-way <br /> and/or easements and the improvements located therein. <br /> 7. Any damage to the City Sidewalk or other improvements shall be replaced at the direction of the City Public <br /> Works Inspector. <br /> 8. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 9. Install erosion control measures per City of Everett Standards and as directed to- P blic WorksInspector. <br /> 10. Remove erosion control measures upon completion of the project prior to fin I I f- e <br /> permit. <br /> Public Works Permit Fee Breakdown: JAN 1 4 2015 <br /> Parking Lot Paving (Associated Revisions) $45.00 <br /> PW Plan Review$20.00 CITY OF EVERETT <br /> PW Site Inspection $20.00 Permit Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs,expenses, or causes of action that may arise <br /> C51741&— <br /> // because of installation and maintenance of the improvement <br /> //"/D Jo`Z��� or other right-of-way use hereto applied for and further agrees <br /> Approved for Construction Date to remove same upon notice from the City and to replace <br /> public property damaged thereby. <br /> FINAL INSPECTION Date �' 1 i /(o <br /> Approved as Constructed 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 <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 />