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•PUBLIC *ORKS PERMIT a Date: 2/17/2016 <br /> -;' — Public Works Permit#: PW1602-028 <br /> • �; --m City of Everett Public Works Department <br /> I 3200 Cedar Street Parent Permit#: <br /> J Everett WA 9820140,-' <br /> 425 257-8810 Planning Reference#: <br /> ( ) <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> TULALIP TRIBES REECE CONSTRUCTION CO <br /> 6406 MARINE DRIVE PO BOX 1531 <br /> TULALIP WA 98271 MARYSVILLE WA 98270 <br /> PHONE: 3607165024 PHONE: 3606599600 <br /> TAX PARCEL ID# SITE ADDRESS: 300 E MARINE VIEW DR <br /> INSTALL TULALIP WATER PIPELINE <br /> THIS PERMIT COVERS CROSSING EAST MARINE VIEW DR AND WORK ON PARK MAINTAINED RIGHT OF WAY. <br /> CONTACT JOSH SCHONEMAN <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 /> .Ali a i::•) <br /> 4. Contact the City of Everett Inspector Tom Gallagher at 425-257-7224 for project c.,, ;� <br /> ) :± .._' <br /> oversite and information. :F--+:7; 44 <br /> 5. Any damage to the City Sidewalk or other improvements shall be replaced at the M"'I <br /> direction of the City Inspector. '_'= ;;LT•' M� <br /> 6. Install erosion control measures as determined by the City and Tribe inspectors, such _; <br /> F 0 <br /> as silt fence, straw bales, swales, or erosion blankets. ch '.. <br /> 7. Provide Traffic Control as applicable and per the MUTCD. '"'a P. F F <br /> VI 0 f.:-"1 ----':H) i— P61 <br /> 8. The Park Department area must be restored as indicated on the Jackson Park ! ,Y:1 <br /> Irrigation/TWP-Seg2 Summit Ave Entrance Irrigation Plan. (Dated 2/24/2016) `. .• Cip <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review$20.00 0 <br /> PW Site Inspection $20.00 a <br /> Misc. Minor Permits$25.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> 3—4—/� causes of action that may arise because of installation and maintenance of the <br /> A ved fo Co tr ion Date improvement or other right-of-way use hereto applied for and further agrees to <br /> p remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> 2 3 / <br /> F AL INS ECTIO Da e /111/r j ./c1ZiL.-•k.. �./Ce <br /> Approved as Constructed 1 nature 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 />