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PUBLIC 1►rORKS PERMIT °ate: 2�24�20�6 <br />Public Works Permit #: PW1602-047 <br />City of Everett Public Works Department <br />� 3200 Cedar Street Parent Permit #: <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 85.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CITY OF EVERETT PARKS AND REC <br />802 E MUKILTEO BLVD <br />EVERETT Wq <br />PHONE: 4252578300 <br />98203 <br />TAX PARCEL ID # 28041400202700 <br />DANCE RUSSELL <br />802 E MUKILTEO BLVD <br />EVERETT Wq 98203 <br />PHONE: 4252577335 <br />SITE ADDRESS: 8811 AIRPORT RD <br />REPLACE SYNTHETIC SURFACE AT SOCCER FIELDS <br />REPLACEMENT OF SYNTHETIC SURFACING AT SOCCER FIELDS 2 AND 3. REPLACEMENT IN WHOLE SPORTS <br />FIELD LIGHTING, ADA ACCESS TO FIELDS, COMBINED FENCE AND NETTING BETWEEN FIELDS. <br />SEC 14 TWP 28 RGE 04 <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 <br />Department dated 4/14/2016. <br />5. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 <br />prior to starting construction and with other inspection requests. <br />6. Install erosion control measures per City of Everett Standards for small parcels and <br />remove upon completion of the project prior to final approval of the permit. <br />7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br />roadway. <br />8. Protect all existing underground utilities during construction. <br />Public Works Permit Fee Breakdown: <br />Paving (1,775SF) ......................................$45.00 <br />PW Plan Review .......................................$20.00 <br />PW Site Inspection ....................................$20.00 <br />� � ' <br />�.� %; <br />' � i�' . <br />� <br />.�' a .� �� :�9✓�'��'� .� � '�',9 ��= u �, � - �ti'� <br />�pproved for C truction Date <br />� � � ��� - : ,� .� n �-. � � . <br />��� <br />FITIAL INSPECTI�N� Date <br />Approved as Constructed <br />,q -a r :�. , a' -F -, � <br />;� � �:� � �� "� � � ,a�� <br />� � <br />a j� A�'R 19 201� ��' <br />�t�� <br />�IT1' OF EVE�'�� ;,., <br />Permit S�rv�c��- � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless the <br />City of Everett from any and all claims for damages, costs, expenses, or <br />causes of action that may arise because of installation and maintenance of the <br />improvement or other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public property <br />damaged thereby. <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 />i' .A�,+'. <br />