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PUBLIC WORKS PERMIT Date Applied: 5/13/2022 <br /> City of Everett Permit Services <br /> Public Works Permit#: PW2205-014 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: <br /> E V E R E T T <br /> Everett, WA 98201 Planning Reference#: <br /> WASHINGTON 425-257-8810 Public Works Fee: $85.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> RHM CENTRE LLC JUSTIN FOSLIEN <br /> 14317 253RD AVE SE <br /> MONROE,WA, <br /> PHONE: PHONE:2067151626 <br /> TAX PARCEL ID#:00582101500300 SITE ADDRESS:4101 RUCKER AVE <br /> DESCRIPTION: REPAIR SURFACE MONUMENTS OF GROUNDWATER MONITORING WELLS <br /> IN ROW OF 41ST ST AS SHOWN IN THE ATTACHED MAP. PREVIOUSLY INSTALLED UNDER PERMIT PW2107-041 <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 and Specifications <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#326 and trench restoration per#614,or as directed by the City PW Inspector. <br /> 7. 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 inspections. Inspections are required for job 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 /> 8. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. <br /> 9. Noise from temporary construction sites is not allowed 10:OOPM—7:OOAM weekdays,6:OOPM—8:OOAM weekends unless a variance has <br /> been issued.Construction projects wishing a variance from the noise ordinance must submit an application at least 30 days prior to <br /> commencing work. Please visit the following website for more information https:Heverettwa.gov/1545/Noise-Administration <br /> Public Works Permit Fee Breakdown: <br /> Paving(20 SF)..........................................$45.00 <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 /> may arise because of installation and maintenance of the <br /> 06/03/2022 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 /> APPLICANT/JOB SITE COPY TREASURER ADDRESS FILE <br />