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PUBLIC WORKS UTILITY Date Applied: 5/29/2019 <br /> PERMIT PW Utility Permit#: PW1905-078 <br /> City of Everett Permit Services Parent Permit#: <br /> E V E R E T T <br /> 3200 Cedar Street, 2�d Floor Permit Type: PUBLIC WORKS UTILITY <br /> WASHINGTON Everett, WA 98201 Permit Subtype: OTHER ROW WORK <br /> 425-257-8810 Permit Fee: $65.00 <br /> UTILITY COMPANY NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MCI METRO UTILITY TRANSMISSION SRVICES Arnaldo Blanco <br /> 800 BELLEVUE WAY NORTHEAST 3000, E Cesar Chavez St. <br /> Bellevue,WA,98008 Austin,TX,78702 <br /> PHONE:4252293123 PHONE:7873492960 <br /> TAX PARCEL ID#:00611200001000 SITE ADDRESS:4641 SILVERTIP LN <br /> DESCRIPTION: MCI Metro Franchise Permit#1703MNTR.005_ROWI_EVT_0936 <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 and <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 /> 06/05/2019. <br /> 4. Any damage to City improvements(sidewalk,curb, roadway,etc.)shall be replaced per City Standards and/or as directed by the <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 PW <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. <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 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: <br /> Misc. Minor Permits......................................................$25.00 <br /> PW Plan Review........................................................$20.00 <br /> PW Site Inspection....................................................$20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <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 /> 7/14d lkwAolt 06105120111 may arise because of installation and maintenance of the <br /> 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 /> Approved for Construction, Public Works Dept. Date public property damaged thereby. <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 COMPLETION.THIS PERMIT MAYBE CANCELLED BY THE <br /> CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 180-DAY DURATION.EACH INSPECTION EXTENDS THE EXPIRATION DATE 180 DAYS TO KEEP THE PERMIT OPEN WHILE WORK IS ACTIVE. <br />