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�,%�� <br />�- <br />E <br />PUBL1� �ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />PORT OF EVERETT <br />PO BOX 538 <br />EVERETT Wq 98206 <br />PHONE: 4252593164 <br />TAX PARCEL ID # 29051900301401 <br />, Date: <br />Public Works Permit #: <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />GRAHAM ANDERSON <br />PO BOX 538 <br />EVERETT WA 98206 <br />PHONE: 4253880703 <br />SITE ADDRESS: 2730 TERMINAL AVE <br />7/1 /2015 <br />PW1507-001 <br />$ 2,896.20 <br />DESCRIPTION OF PROPOSED WORK: <br />PIER 3 UTILITY UPGRADES <br />Trenching, demo of ex facilities, & utilities replacement in ex trench. Above ground RPBA is an additive bid item. See <br />provided drawings. <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 <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 8/14/2015. <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction <br />and with all other inspection requests. <br />6. All work and materials shall be in accordance with the City of Everett current'Design and Construction <br />Standards and Specifications for Development'. For water, all of Section 5, including but not limited to: Section <br />5-2.1, 5-6,5-7,5-8,5-10,5-13,5-14, and 5-15. <br />Public Works Fee Breakdown: <br />Aspalt Paving $45.00 <br />PW Plan Review $950.40 <br />PW Site Inspection $1900.80 <br />1��UUC <br />AUG 1 9 2015 <br />._ _ r 1 U1' i.�%L�.ILL:i ! <br />''eri+�;. - .: •✓ices <br />U —� oCQ�s <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvernent <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />��� �` `�"�I� <br />� <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />1�i�1( f�i PD� <br />