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� <br />-� �. ;� <br />�. �_ ,��-.,- � <br />PUBLIG �RK� PEFdMI'i' <br />Gty ot EvereR Public Works Department <br />3200 Cedar Street <br />Everelt. WA 98�01 <br />(425) 257-�810 <br />OWNcR �AME AND ADDRESS: <br />COLUMBIA CASCADE PLAZA LLC <br />P O BOX 790830 <br />SAN ANTONIO TX 78279 <br />PHONE: <br />TAX PARCEI ID # 28050700300100 <br />Date: 4I14/2015 <br />Public Works Permit # PW1504 -033 <br />Buildinq Permit #; B1501-030 <br />Planninp Reference #: SEPA15-U17 <br />Public Works Fee � $ 22,657.00 <br />Other 5. <br />APPLICANT NAME AND ADDRE55: <br />CU�� IMBIA CASCADE PIAZA LLC <br />P O BOX 790830 <br />SAN TX 78?79 <br />ANTONIO <br />PHONE: <br />SITE A�bRESS: 7601 EVERGREEN WAY <br />DESCRIPTIODI OF PROPOSED WORK: <br />PW FOR SHELL ADDITION TO EXISTING BI�DG-CASCADE PLAZA <br />(4/17;2015 1? 29 AM KWB) <br />INCUDES TRAFFIC MITIGATION FEE <br />PERMIT COMDITIONS <br />1 All calls for mspecUon shall be made 24 hour� in advance <br />7. All work shall be performed m accordance wilh the permd and currenl Cdy of Everett Desian and Construc6on Standards <br />and Specrf�caUons <br />3 Ca!I LocaUon Underground Service 4b hrs before you dig TOLL FREE NUMBER 811 r— <br />4 Storm water from thls expansion area shall be managzd �n accorda�ce wdh ihe 4/8/15 storm water narrative <br />prepared by VMLK Engineermg and Design (Per attached documenq. m � <br />5 Cily records intlicate a section of thls budding's sitle-sewer a�ill be under the_footprini•of•the proposed•bmldi�g ,+ <br />Replacement of the s�de sewer pipe malenal may be necessary to meet e�n�fgjrn-prlumb�r�g:Cod,ef-. �. , f' <br />6 Provide any necesary Eros�on control �or tnis pro�ect as d�rected oy tS�� Cd"ysPubi��Nojks Insc�c:[oL` �� � <br />' Keep the c�ty slreets clean at all times. � r=; _ ,_ ,•- �� � <br />- cs `" <br />PUELIC V10RKS <br />ProlleriD Descnphon Comments <br />GP.I'iE'�!=�'r'�CGhlCP.ETE ::FROFFC <br />?:•, r �,u ae.��E'. ! IE5T1 <br />Prr �ITE IWS?ECTIOfI i:EST) <br />Descnption Comments pTY <br />7R;.FFIC PdITIG�TIVI! FEE <br />ved for Conslrucuon <br />INAL IN5P��TION <br />Approved as Constructed <br />����� <br />Date .7 � —(S <br />� _� <br />�.� <br />� E50D N;A <br />QTY rAmount <br />�'; h _, .,. <br />t �(� f'l <br />�� � �.i =5 00 ,I .- r;; <br />c �- • <br />�- i c ri r--.G T] r_n l.n �n o. y� <br />i^— `-�/J�-I, c> >r�r�r� <br />�- .-. E .. G> �^ I�` f'O G� � V 1 <br />. � �} <br />-�' }' �Z� iG��.�� ��� �n -Tq �� G� Ca _� C:. <br />Amount Da� <br />2=5i�OD fdi;. <br />Ri <br />i� <br />�� <br />�, <br />-' ;—�� <br />.�, <br />ACKNU\VLECGLb1ENT OF COPIDITIONS <br />The undersiyned ov+ner%apphcant hereby ayrees lo holU and <br />save harmless Ihe Crty of Everelt from any and all cla�ms for <br />damages. cosls, expenses. or causes ol action thai may ar�se <br />because of mstallahon and maintenance ot �he improvement <br />or other righ4of-way use hereto apphed (or and (urther agrees <br />to remove same upon nohce from the City and to replace <br />pubtic operty da c by <br />E <br />�i- p�l -2N-?�i� <br />SignaWre of Applicant <br />Date <br />4VORK AUTfiORIZED 6Y Tk115 PERh11T h1U5T 8E STARTED 4'lITHIN 180 DAYS OF DAT[ PERf•11T IS ISSUED AtJD TMERJ�FTER IS TO BE DILIG[NTLY <br />PURSUED TO COh1PLETION. THIS PER141T P1AY DE CANCE.LLED BY THE CITY UPON ANY STOPPAGE OF WORC ON THIS PROJECT OVER °') DAl'S DURATION. <br />