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A . , PUBLIC KS PERMIT Date: 1/20/2016 <br /> 14/— ORPublic Works Permit#: PW1601 045 <br /> City of Everett Public Works Department <br /> ::= �y� �` 3200 Cedar Street Parent Permit#: B1601-030 <br /> Everett, WA 98201 Planning Reference#: REVI15-021 <br /> (425) 257-8810 <br /> Public Works Fee$: $ 13,054.46 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SJC PROPERTY LLC STRELKA JOSEPH/C2K ARCHITECTS <br /> 1617 5TH AVE N <br /> SEATTLE WA 98109 <br /> PHONE: PHONE: 5034442208 <br /> TAX PARCEL ID# 00439147503100 SITE ADDRESS: 2202 BROADWAY <br /> SITE DEVELOPMENT DRIVE THRU COFFE SHOP - DUTCH BROS COFFEE <br /> EVERETT PLAT OF BLK 475 D-00 - <br /> LOTS 31 & 32 <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 r; <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works i–, i---' 1---, r I <br /> Department dated 04/28/2016. :jj F=1 ,74.,,,!---'7—t —mw <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 pry -- , ,��?; o=' <br /> to starting construction and with other inspection requests. cn., ::_n`.; �; <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and ) ) `_-, I* <br /> remove upon completion of the project prior to final approval of the permit. '^ 4)I. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto L4 � -� <br /> roadway. ' <br /> 8. Protect all existing underground utilities during construction. <br /> 9. All work constructed within the public right-of-way must be removed or relocated av 4,N.:) t-,.,F itt ' <br /> the owner's expense if the City ever requires use of the right-of-way for municipal ; )r :ter:';_ r;) - � <br /> _g::. ,,,w . ,,vrl, , <br /> purposes. <br /> ..0 .i:^1�"5 rxi syr.. c) ::Y <br /> i:7 _r i:.,)� 7 .._`_J c� >>' <br /> L 1'n! C <br /> ---i Nfl <br /> Public Works Permit Fee Breakdown: r_:; <br /> Erision Control Plans-CommerciaVlndust.) $200.00 <br /> ,_.t <br /> Cin <br /> Grade/Fill/Excavate $120.00 <br /> Parking Lot Paving(sft) $45.00 <br /> PW Plan Review $149.82 PO <br /> PW Site Inspection $299.64 <br /> Traffic .tigation $12,240.00 <br /> / <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> 0 / City of Everett from any and all claims for damages,costs,expenses,or <br /> _��—�� .1�`4de -;--- 1°/ _ 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 /> pproved for Constr rn D:te remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date Cr---- j)A .. s/30 i, <br /> Approved as Constructed 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 /> A <br /> Ty:ee___ <br />