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mai <br /> PUBLIWVORKS PERMIT ak Date Applied: 7/20/2021 <br /> City of verett Permit Services <br /> PubliWorks Permit#: PW2107-041 <br /> E V E R E T T 3200 Cedar Street, 2 Floor Associated Bldg Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $0 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> AEROTECH ENVIRONMENTAL CONSULTING INC NICK GERKIN <br /> 14220 INTERURBAN AVE S,STE 116 <br /> TUKWILA,WA,98168 <br /> PHONE:2064822287 PHONE:2064822287 <br /> TAX PARCEL ID#:00582101500300 SITE ADDRESS:4101 RUCKER AVE <br /> DESCRIPTION: INSTALL GROUNDWATER MONITORING WELLS IN ROW OF 41ST ST <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 Specifications <br /> 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. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of Everett. <br /> 5. Any damage to City improvements(sidewalk,curb,roadway,etc.)shall be replaced per City Standards and/or as directed by the City PW <br /> Inspector. <br /> 6.Street restoration must be done per COE Standard Drawing#326 and trench restoration per#614,or as directed by the City PW Inspector. <br /> Permanent restoration must be completed within 2 weeks of completion of utility work. <br /> 7. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally request all <br /> required inspections. Inspections are required for job start notification,potholing all City utilities,evaluation of traffic control set-up,to view <br /> the work prior to backfill,and after final restoration to final the permit. <br /> 8. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. <br /> 9.This permit approved for work within the Right of Way. <br /> Public Works Permit Fee Breakdown: <br /> Paving $45.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the owner/applicant <br /> hereby agrees to hold and save harmless the City of Everett from any <br /> and all claims for damages,costs,expenses,or causes of action that <br /> may arise because of installation and maintenance of the <br /> improvement or other right-of-way use here to applied for and further <br /> agrees to remove same upon notice from the City and to replace <br /> Approved for Construction, Public Works Dept. Date public property damaged thereby. <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 />