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F <br />PUBLIC� �I/ORKS PERMIT � Date: <br />i+ Public Works Permit #: <br />City of Everett Public Works Department <br />- 3200 Cedar Street Building Permit #; <br />''""' Everett, WA 98201 <br />(425) 257-8810 Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />KOZ EVCC LLC <br />1208 TENTH STREET, SUITE 201 <br />SNOHOMISH WA 98290 <br />PHONE: 2067551290 <br />KOZ EVCC LLC <br />1208 TENTH STREET, SUITE <br />�5�1i7HOMISH Wq 98290 <br />PHONE: 2067551290 <br />11 /3/2015 <br />PW1511-006 <br />B1509-025 <br />SEPA15-024 <br />$ 67,200.00 <br />TAX PARCEL ID # 29051700204700 SITE ADDRESS: 1004 BROADWAY.� <br />SITE WORK STUDENT HOUSING-ECC/TRAFFIC MITIGATION <br />ro Posr��c �-�-c� <br />SEC 17 TWP 29 RGE 05 <br />PERMIT CONDITIONS / <br />1. All calls for inspecti� 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 />�� '�`,',�- <br />,�-, <br />i—• -� `- <br />4. Install erosion control measures as determined by the Public Works Inspector, such as silt fence:��t��w bales; <br />swales, or erosion blankets. __ s; ;�; <br />� �; -T, <br />5. Remove erosion control measures upon completion of the project prior to final approval of the pe�riait. �=i �'� <br />6. No dirt, mud, rocks, or debris to be tracked onto roadway. �`_; <br />7. If the curb ramp is damged during construction, th ramp shall be updated per ADA standard includin;��`�he rari�ip <br />across the street. RA4i <br />8. Construct per approived plan 10/28/2015. ,� <br />9.Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting.lc�s,t.�uction <br />and with other inspection requests. See attached to request an inspection. �':;'`�' �-�; <br />— ��,} :� <br />r-� N r- Y <br />Public Works Permit Fee Breakdown: �_> ;, ;� e=� <br />Traffic Mitigation Fee $67,200.00 ��; �;'�� ;�; <br />��.: <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Evereft 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 th City nd t�ce��ir'"�v <br />public property damaged thereby. <br />l � 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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />