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�``` PUBLIC VI�ORKS PERMIT °at�: si�s�z°�� <br />,�� � f.. �1, <br />�" City of Everett Pubfic Works Departmeni Pub(ic Works Permit #: PW1509-Q13 <br />3200 Cedar Street BuIlcEing Permit #; B1509-025 <br />u;�;< Everett, WA 98201 Planning Reference #: SEPA15-024 <br />(425) 257-8810 <br />Public Works Fee $: $ 2,094.59 <br />Other $: <br />OW�lER NAME AND ADDRESS; APP�fCANT NAME AND ADDRESS: <br />KOZ EVCC LLC <br />1208 TEN7H STREET, SUITE 201 <br />SNOHOMISH Wq 98290 <br />PHONE: 2Q67551290 <br />7A7C PARCEL 1D # 2905i7Q020470a <br />S1TE WORK STUDENT HOUSING-ECC <br />KOZ EVCC LLC <br />12Q8 TENTH STREET, SUITE <br />�1bHOMISH WA 98290 <br />PHONE: 2067551290 <br />SITE ADDRESS: 1004 BROADWAY AVE <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 fhe permit and current City of Everett Design and Construction Standards <br />and Specificatians. <br />,. Call Location Underground Service 48 hrs before you dig. T�LL FREE NUMBER 811 , ,, <br />_:.; <br />4_ Install erosion control measures as determined by the Public Works Inspector, such as silt fence, strav,r, bafes�,` <br />swales, or erosion blankets. ' _. �; z-; <br />5. Remove erosion control measures upon completion of the project prior to final approval of the':peri7lif; ` �-6 <br />6. No dirt, mud, rocks, or debris to be tracked onto roadway. �' <br />7. If the curb ramp is demged during construction, th ramp shaIl be updated per ADA standard including the ramp <br />across the street. Yr <br />8. Construci per approived plan 90/28/2015. ' <br />9.Contact the City ofi Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starfiuig consfruction <br />and �Nith other inspection requests. See aft�ched to rec�uest an inspection. �; �' �-, <br />sPublic Works Permit Fee Breakdown: ' <br />Erosion control plans- $200.0 `� ' - <br />PW Plan Review $631.53 <br />PW Sife Inspection $1263.06 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby sgrees to hold and <br />save harmless the City of Everett irom 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 appfied for and further agrees <br />to remove same upon notice from the City and to repiace <br />" public property damaged thereby. <br />( � / � ��3��-�'� <br />5ignafure ofApplicant Dafe <br />WQRK AUTNORIZED HY lTiIS PERMIT MUSf BE SfARIFD WITHIN 160 DAYS OF DATE PERMIT IS ISSUED AND TNEREAFfER TS TO BE bILIGENTI.Y <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY T}-iE C[TY UPON ANY STOPPAGE OF WORK QN THIS PRO]ECT aVER 90 DAYS DURATIOiV. <br />t�l � <br />