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PUBLIC WORK$ PERMIT <br />Date Applied: <br />7/27/2021 <br />City of Everett Permit Services <br />Public Works Permit#: <br />PW2107,068 <br />E V E R E T T <br />3200 Cedar Street, xn0 Floor <br />Everett, WA 98201 <br />Associated Bldg Permit#: <br />Planning Reference #: <br />WASHINGTON <br />425-257-SSID <br />Public Works Fee: <br />$85.00 <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />ROBERTTHOMPSON <br />ROBERTTHOMPSON <br />309 SOUTH CLOVERDALE STREET <br />SEATTLE, WA, 98108 <br />PHONE: 206510SMS <br />PHONE:2055105855 <br />TAX PARCEL ID #: 00437161900100 <br />SITE ADDRESS: 2717 FEDERAL AVE <br />DESCRIPTION: DRILL BORINGS IN ROW FOR SOIL SAMPLES <br />THE BORINGS WILL BE IMMEDIATELY BACKFLLED AND FINISHED TO MATCH THE MIS GRADE WITH EITHER DYED CONCRETE OR <br />ASPHALT <br />THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br />PERMOCONDRIONS: <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 Specification <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. All work including Traffic Control must be done In accordance with MUTCD Standards and the attached plans 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 N326 and trench restoration per K614, or as directed by the City PW Inspector. <br />Permanent restoration must be completed Within 2 weeks of completion of utility work. <br />7. Full lane width grind and overlay is required for trenches greater than Mo In length, multiple cuts within a 100' length section, antlioras <br />directed by the City PW Inspector. <br />8. A minimum of SR separation between City of Everett utilities and directional boring/pavement cuts shall be maintained. <br />9. 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 inspection. Inspections are required forjob 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 Request a final inspection online by selecting PW 25-Site Final/Permit <br />Close Out within the Online Permitting Portal Inspection Requests for this permit when all items have been completed. <br />10. Potholing required for all crossings over/under City of Everett water mains. <br />11. Coordinate with adjoining businesses/homeownersto minimize obstruction of commerce/access. <br />Public Works Permit Fee Breakdown: <br />Cut/Bore Alley/Pavement (Parallel) ............................$45.00 <br />PW Plan Review.........................................................$20.W <br />PW Site Inspection.....................................................$20.00 <br />Oryof Everett OJfchal IIU Only ACKNOWLEWEMENT OF CONDITIONS <br />By purchasing tins permit and commencing work, the owner/applicant <br />hereby agrees to hold and save harmless the city Of Everenfrom any <br />and all claims for damages, Costs, expenses, or Causes of action that <br />%col �oNyrwoda 08,170/2021 may ante because or Installation and maintenance m the <br />Improvement or other right-of-way use here to applied for and further <br />agrees to remove same upon notice from the Gty and to replace <br />Approved for Construction, Public Works Dept. Date public property damaged thereby. <br />