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PUBLISWORKS PERMIT IP Date Applied: 5/14/2019 City of Everett Permit Services Public Works Permit#: PW1905-049 EVERETT 3200 Cedar Street, 2nd Floor Everett, WA 98201 Associated Bldg Permit#: Planning Reference#: WASHINGTON 425-257-8810 Public Works Fee 3$8c 2019 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: 1 LIGHT SPACE SHADOW HEWITT LLC GARDIN JOHN 1037 NE 65TH ST UNIT 80172 43530 SE NORTH BEND WAY SEATTLE,WA,98115 NORTH BEND,WA,98045 PHONE: PHONE:4258645547 TAX PARCEL ID#:00439167001400 SITE ADDRESS: 1313 HEWITT AVE DESCRIPTION: POTHOLING FOR UTILITY LOCATES THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett'Design and Construction Standards and Specifications for Development'. 3. Call Location Underground Service 48 hours before you dig.The day you call does not count.TOLL FREE NUMBER 811. 4. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of Everett dated 5/17/2019. 5. Any damage to City improvements(sidewalk,curb, roadway,etc.)shall be replaced per City Standards and/or as directed by the City PW Inspector. 6.Street restoration must be done per COE Standard Drawing#326 and trench restoration per#614,or as directed by the City PW Inspector. Permanent restoration must be completed within 2 weeks of completion of utility work. 7. Inspections are required for all stages of construction.Visit the City's Online Permitting Portal at pw.everettwa.gov to formally request all required inspections. Inspections are required for job start notification, potholing all City utilities,evaluation of traffic control set-up,to view the work prior to backfill,and after final restoration to final the permit. 8. Potholing required for all crossings over/under City of Everett water mains. 9. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. Public Works Permit Fee Breakdown: Paving $45.00 PW Plan Review $20.00 PW Site Inspection $20.00 \\J MAY 2 3 2019 CITY OF EVERETT Permit Services City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs,expenses,or causes of action that may arise because of installation and maintenance of Approved for Construction (Public Works) D to the improvement or other right-of-way use here to applied for and further agrees to remove same upon notice from the City and to replace public property a ged th FINAL INSPECTION Date Approved as Constructed (PW Inspector) Signature of Applicant Date 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 MAY BE CANCELLED BY THE 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. r7'- ( cam!"DS