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-1, PUBLIC ORKS PERMIT Date.2 Applied5AUG: 4/23/20201117 <br /> ./, '''""- City City of Everett Public Works Department Public Works Permit#: PW1704-046 <br /> f*�A--� 3200 Cedar Street Parent Permit#: <br /> '.% Everett,WA 98201 Planning Reference#: <br /> : -7 (425)257-8810 Public Works Fee: $6760.08 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SMITH IS TERMINAL/MARK WOLKEN DAVID EVANS/JACK MOLVER PE <br /> 2903B HEWITT AVE 1620 W MARINE VIEW DR SUIT 200 <br /> EVERETT, WA, 98201 EVERETT, WA, 98201 <br /> PHONE: PHONE: <br /> TAX PARCEL ID#: SITE ADDRESS: 3620 36th PI NE <br /> DESCRIPTION: Earthwork for the Smith Is Terminal <br /> Grading fill activity in preparation for future development of the Smith Island Terminal <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 /> rn —I Pull <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Departrner dated 06/16 017L1 cr' <br /> 5. No dirt, mud, rocks, or debris to be tracked onto roadway. G, !-�, ;{ ' <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prio o s --vj ti: ctian and with <br /> other inspection requests. See attached to request an inspection. m <br /> 7. Work within this project must adhere to 401 Water Quaility Certification issued by Ecology. <br /> 8. Work can not begin on this project until the Corps permit is issued. co <br /> C, , <br /> 9. Mitigation planting must be reviewed, approved and inspected by the City Planning Depment. Contact Steve Inbe <br /> at 425-257-7135. , r. <br /> -4 `-a <br /> Public Works Permit Fee Breakdown: ::-,-,1 TiS ,, 18 L:8 <br /> Asphalt Paving $250.00 '0T, IF, c� "-` <br /> Erosion Control $200.00 c <br /> PW Plan Review $575.03 0' <br /> PW Site Inspection $1150.05 1.--,r•-:) <br /> Grading $4585.00 <br /> Plannin De artment <br /> `- t4k_ &0 CI <br /> p <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 /> c ZA5...014____ <br /> —���/ 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 /> App ed 4C-71or Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace pu lic property damaged thereby. <br /> ejacy/i--. <br /> FINAL INSPECTION Date <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 MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />