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� " PUBLIC�v1/ORKS PERMIT ( Date: 9/16/2015 <br />r �. .sl ' <br />Public Works Permit #: PW1509-013 <br />City of Everett Public Works Department <br />3200 Cedar Street Building Permit #; B1509-025 <br />��: . Everett, WA 98201 Planning Reference #: SEPA15-024 <br />(425) 257-8810 <br />Public Works Fee $: $ 2,094.59 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />KOZ EVCC LLC <br />1208 TENTH STREET, SUITE 201 <br />SNOHOMISH Wq 98290 <br />PHONE: 2067551290 <br />TAX PARCEL ID # 29051700204700 <br />SITE WORK STUDENT HOUSING-ECC <br />KOZ EVCC LLC <br />1208 TENTH STREET, SUITE <br />��1bHOMISH WA 98290 <br />PHONE: 2067551290 <br />SITE ADDRESS: 1004 BROADWAY AVE <br />� <br />f$ � ������� � G —[n — ( (� <br />SEC 17 TWP 29 RGE 05 <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 -�� ,�,a :�� <br />ri <br />'--` ;—. ,_. =�;' <br />�--� <br />4. Install erosion control measures as determined by the Public Works Inspector, such as silt=f�nce��s�r�w;bales, <br />swales, or erosion blankets. �? --- � - <br />�_ _z �_; <br />r , •--, .-�- , <br />5. Remove erosion control measures upon compietion of the project prior to final approval of tih�e peK�'i#' �=;� ;-�; <br />6. No dirt, mud, rocks, or debris to be tracked onto roadway. ;��s <br />,__� <br />7. If the curb ramp is damged during construction, th ramp shall be updated per ADA standard in�luding the rarn'p <br />across the street. i;;�a <br />8. Construct per approived plan 10/28/2015. �y <br />9.Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to sta�tiiig construction <br />and with other inspection requests. See attached to request an inspection. ;'s ;��, �� �.,.. ,;: <br />':'_; � ' ��..� ,�'. � :� <br />�:, , ,.... �.., , <br />��' ��; i a •: ;—� � ==' <br />Public Works Permit Fee Breakdown: = a <br />Erosion control plans- $200.0 � � �"�� �= � ' "V' - � =. : <br />PW Plan Review $631.53 �' !-; � <br />PW Site Inspection $1263.06 `�""'"' <br />� <br />FI,IVAL INSPE�IOiQ� '" <br />Approved as onstructed <br />Date <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 improvement <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 da aged thereby. <br />1) 3 2� � <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 />