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PUBLIC WORKS UTILITY Date Applied: 4/12/2019 <br /> i PERMIT PW Utility Permit#: PW1904-029 <br /> Parent Permit#: <br /> E V E R E T T City of Everett Permit Services Permit Type: PUBLIC WORKS UTILITY <br /> 3200 Cedar Street, 2nd Floor Permit Subtype: OTHER ROW WORK <br /> WASHINGTON Everett, WA 98201 Permit Fee: $818.00 <br /> 425-257-8810 <br /> UTILITY COMPANY NAME AND ADDRESS: <br /> APPLICANT NAME AND ADDRESS: <br /> do Blanco <br /> MCI METRO UTILITY TRANSMISSION SRVICES Arnaldo <br /> E Cesar Chavez St. <br /> 3245 158th Ave SE Austin,TX,78702 <br /> BELLEVUE,WA,98008 <br /> PHONE:4252293123 PHONE:7873492960 <br /> TAX PARCEL ID#:28041200303000 <br /> SITE ADDRESS:8327 5TH AVE W <br /> DESCRIPTION: MCI Metro Franchise Permit#1801AVAO.6_ROW_EVT_1020 <br /> See description of work <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards an <br /> Specifications for Development'. <br /> 2. Call Location Underground Service 48 hours before you dig.The day you call does not count.TOLL FREE NUMBER 811. <br /> 3. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of Everett dated <br /> 05/02/2019. <br /> ts(sidewalk,curb, roadway, etc.)shall be replaced per City Standards and/or as directed by the <br /> 4. Any damage to City improvemen <br /> 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 City P <br /> 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 section, <br /> and/or as directed by the City PW Inspector. boring/pavement cuts shall be maintained. <br /> 7. A minimum of 5ft separation between City of Everett utilities and directional <br /> 8. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally <br /> request all required inspections. Inspections are required for job start notification, potholing all City utilities,evaluation of traffic <br /> 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:Cut/Bore Alley/Pavement(Parallel)(517 LF)..............$517.00 <br /> Cut/Bore Alley/Pavement(Non-Parallel)(87 LF)......$261.00 <br /> PWPlan Review........................................................$20.00 <br /> PW Site Inspection....................................................$20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> City of Everett Official Use Only <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 /> 7"d 7�w� 05/02/2019 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 /> public property damaged thereby. <br /> Approved for Construction, Public Works Dept. Date <br /> IS To BE DILIGENTLY PURSUED TO COMPLETEION. <br /> WORK AUTHORIZED THIS <br /> STOPPAGE Of PERMIT <br /> MUST BE <br /> ON THIS PROJECT OVER 8 0DAYS DURATION. MIIH INSPECTION EXTENDSTHE THEE ON DATE 180 D YS TO KE P THE PERMITI PERMIT CELLED BY <br /> OF DATE OPEN WHILE WORK IS ACTIVE. <br /> WOR <br /> -DAY <br /> THE CITY UPON A <br />