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PUBLIC CORKS PERMIT ate Applied: 4/1/2019 <br /> /i riCity of Everett Permit Services Public orks Permit#: PW1902-023 <br /> 3200 Cedar Street, 2nd Floor Associated Bldg Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> POLO PROPERTIES LLC Brynn Hower <br /> 3248 HUNTS POINT RD 3301 Burke Ave N, Suite 100 <br /> BELLEVUE, WA, 980041126 Seattle, WA, 98103 <br /> PHONE: PHONE: 2066618998 <br /> TAX PARCEL ID#: 28040200300300 SITE ADDRESS: 2215 MERRILL CREEK PKWY <br /> DESCRIPTION: VZW utility box and underground conduit <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. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/or as <br /> directed by the City PW Inspector. <br /> 5. Street restoration must be done per COE Standard Drawing#326 and trench restoration per#614, or as directed by the <br /> City PW Inspector. Permanent restoration must be completed within 2 weeks of completion of utility work. <br /> 6. Full lane width grind and overlay is required for trenches greater than 100' in length, multiple cuts within a 100' length <br /> section, and/or as directed by the City PW Inspector. <br /> 7. A minimum of 5ft separation between City of Everett utilities and directional boring/pavement cuts shall be maintained. <br /> 8. 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. Inspections are required for job start notification, potholing all City utilities, <br /> evaluation of traffic control set-up, to view the work prior to backfill, and after final restoration to final the permit. <br /> 9. Potholing required for all crossings over/under City of Everett water mains. <br /> 10. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. <br /> Public Works Permit Fee Breakdown: r <br /> Misc Minor Permits And/Or Plan Reviews $25.00 MAY 0 5 2023 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 —J <br /> CITY OF EVERETT <br /> Permit Services <br /> City of Evere 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 /> eV / j// 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 /> A p ed for Constructio ublic Works) D to for and further agrees to remove same upon notice from the City and to <br /> replace public properly damaged thereby. <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 />