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� Date: 2/1 /2016 <br />PUBLIC�ORKS PERMIT <br />Public Works Permit #: PW1602-001 <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 $: $ 65.00 <br />� �1(�v� � � � I G U ��'i-Q.Y'C� � 5c�7^► �� Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />COMMUNITY TRANSIT <br />SEAWAY TRANSIT CENTER <br />PHONE: <br />TAX PARCEL ID # <br />HWA GEOSCIENCES, INC. <br />21312 30TH DR SE, STE 110 <br />BOTHELL Wq 98021 <br />PHONE: 4257740106 <br />SITE ADDRESS: 1600-1800 75TH ST SW <br />DRILLING FOR GEOTECHNICAL BORINGS <br />GEOTECHNICAL BORINGS TO BE DRILLED IN CITY OF EVERETT RIGHT OF WAY. TRAFFIC CONTROL <br />SIGNS/CONES TO BE PLACED IN CITY OF EVERETT RIGHT OF WAY. <br />75TH ST SW BETWEEN 16TH AVE W <br />AND SEAWAY BLVD. <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 />: ;..; , ' I ; <br />4. Traffic Control must be done in accordance with the approved Traffic Control Plan (as -= "°° <br />,._..,. ,._..� <br />__ - <br />,.._a ,.;.,.. <br />modified) dated 02/10/2016 and MUTCD Standards as applicable. �'-' ° <br />- _ � -� <br />5. Any damage to the City sidewalk, curb, roadway, or other improvements shall be <br />replaced per City of Everett Standards and at the direction of the City's Public Works <br />I nspector. <br />9. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br />to starting construction, to evaluate traffic control set-up, and with other inspection <br />requests. See attached to request an inspection. <br />10. Coordinate with adjoining businesses/homeowners to minimize obstruction of <br />commerce/access. <br />Public Works Permit Fee Breakdown: <br />PW Plan Review $20.00 <br />PW Site Inspection $20.00 <br />Misc. Minor Permits $25.00 <br />� AL�_ Z' �D _ <br />Appr ved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />.. :�:_ , ._.._ w <br />: �:�: � <br />=:; . - : ��,: �--� � <br />, ; ,.., <br />�' '' ; -:::: ::: I�I <br />�� <br />�...; , �- :; � <br />' ;� <br />;;��;i� O <br />,.. <br />�;,u _ �:: � <br />_' ' N�. , J::t da-t �� Ft ' � <br />f'•..:7 I':::� �':�! <br />' _��v'7r_J:-_ <br />.. .. ',•n� . _, .._. .' . � � � _ � O <br />: ��; : : �"� <br />_. ,._ <br />� <br />0 <br />� <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 />2 ii f � <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 C.iTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />�� � <br />