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IUBLIC *ORKS PERMIT *bate Applied: <br />City of Everett Permit Services Public Works Permit #: <br />3200 Cedar Street, 2"d Floor Associated Bldg Permit #: <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 Public Works Fee: <br />11/7/2018 <br />P W 1811-013 <br />PREAPP18-035 <br />$1,775.00 <br />2 3 APR 201q <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />KIMBERLY-CLARK WORLDWIDE INC <br />KIMBERLY-CLARK WORLDWIDE INC <br />PO BOX 349 <br />2600 Federal Avenue <br />NEENAH, WI, 54957-0349 <br />EVERETT, WA, 98201 <br />PHONE: <br />PHONE: 4252103284 <br />TAX PARCEL ID #: 00437461700200 <br />SITE ADDRESS: 2600 FEDERAL AVE <br />DESCRIPTION: KC CLEANUP SITE WORK <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 and drainage report approved by the City of Everett Public Works Department dated <br />4/17/2019. Approved plans must remain on job -site at all times. <br />5. It is the applicant/contractor's responsibility to ensure coverage under Ecology's Construction Stormwater General Permit <br />is obtained and maintained throughout the entire construction duration. <br />6. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at pw.everettwa.gov to <br />formally request all required inspections. An Inspection Handout is provided at permit issuance with instructions on how to <br />request an inspection online. <br />7. Install and maintain erosion control measures per City of Everett Standards and approved SWPPP/Plan. Remove upon <br />completion of the project prior to final approval of the permit. <br />8. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br />9. Protect all existing underground utilities (to remain) during construction. <br />10. If any Oversize Loads are required or changes to the approved haul route is needed, contact Traffic Engineering for <br />Street Use Permits to issue permits for the approved Oversize Load and/or revised haul route, prior to any interruption to <br />the public right-of-way (roadways, parking lanes, or sidewalks). 425-257-8810, press option 7 for Traffic. <br />11. All excavated material shall be hauled to an approved, permitted site. <br />12. This permit must be finaled in order to close out this permit/grant a Certificate of Occupancy. Request a final inspection <br />online by selecting PW-Site Final within the Online Permitting Portal Inspection Requests when all items have been <br />completed for this permit. ®1 11I Mal �� <br />Public Works Permit Fee Breakdown: D 0 U <br />Erosion Control..............................................$200.00 <br />Grade/Fill/Excavate(185,000CY)...............$1,535.00 IF APR 2 3 2019 qAPR 2 3 2019 <br />PW Plan Review..............................................$20.00 <br />PW Site Inspection...........................................$20.00 CITY OE EVERETT CITY OF EVERETT <br />Permit Services Permit Services <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 />/� �IL% 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 />Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br />replace public properly a aged thereby. <br />�1 )- <br />FINAL INSPECTION Date /;z <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 MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION. ` 3 <br />ri'L I—'— <br />