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PUBLIOA/ORKS PERMIT S Date Applied: 12/9/2019 <br /> City of Everett Permit Services Public Works Permit#: PW1912-016 <br /> EVERETT 3200 Cedar Street, 2 nd Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $65.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CANYON LUMBER COMPANY CANYON LUMBER COMPANY <br /> 3821 26TH PL 3821 26TH PL <br /> EVERETT,WA,98201 EVERETT,WA,98201 <br /> PHONE:4252590808 PHONE:4252590808 <br /> TAX PARCEL ID#:00480100200102 SITE ADDRESS:2630 RAILWAY AVE <br /> DESCRIPTION: PUT A 12" PIPE UNDER A GRAVEL ROAD <br /> (12/9/2019 1:46 PM BES) <br /> PUT A 12" PIPE UNDER A GRAVEL ROAD AND DAYLIGHT TO THE CULVERT ON THE STREET <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 /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 12/10/2019. <br /> 5. 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. Flyers are provided at permit issuance with instructions on how to request an inspectigral onlir�e�, <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and remove upon completion of the'Rojec r to <br /> final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks,or debris to be tracked onto roadway. .;r =••= = = <br /> -, - <br /> 8. Protect all existing underground utilities during construction. rn <br /> 9.All work shall be performed in accordance with the City of Everett's current Design and Construction Standards and cifications <br /> for Development. <br /> rri <br /> i•ia <br /> I <br /> I� r•._y <br /> Public Works Permit Fee Breakdown: <br /> 04`' --a <br /> Misc. Minor Permits(Drainage Work) $25.00 <br /> PW Plan Review $20.00 !) •r, '��`'•:" r r <br /> PW Site Inspection $20.00 `,�„_,` �:'�� •y <br /> /De <br /> r r� �rw�c� --4-.3 <br /> CITY ?20,9 <br /> Per /S�BERET <br /> Bees 1' <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 /> f 2 (' causes of action that may arise because of installation and maintenance of <br /> proved for Construction( lc Works) Dat / the improvement or other right-of-way use here to applied for and further <br /> r/ <br /> agrees to remove same upon notice from the City and to replace public <br /> property damaged thereby. <br /> FINAL INSPECTION Date OLO — <br /> Approved Signature of Applicant Date <br /> as Constructed(PW Inspector) <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 />