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PUBLIC �ORKS PERMIT Date: 2/24/2016 <br />Public Works Permit #: PW1602-047 <br />City of Everett Public Works Department <br />3200 Cedar Street Parent Permit #: <br />�� �� Everett, WA 98201 <br />(425) 257-8810 Planning Reference #: <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 w <br />prior to starting construction and with other inspection requests. [�I <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. O <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 />a���h.�_ �n/.1,��1 y—r <br />roved for C nstruction Date <br />� �� f _ <br />,L INSPECTI N Date <br />oved as Constructed <br />���I% <br />APR 1 9 2016 <br />C[TY OF EVERETT <br />Permit Services <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 />--, <br />�' , ,�1vU�fJ �.L--- y/i � ;�, �_ <br />`��ignature of Applicarf D'ate <br />WORK AUTHORIZFD BY TfiIS PFRMIT MUST C�E ST�RTED WITI IlN 1£�0 D�YS OF D�TE PERMIr IS ISSUFD AND THEREAFTER IS TO QE 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 />r� <br />