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PUBLIC ":'JRKS PERMIT Date: 3/11/2016 <br /> Public Works Permit#: PW1603-029 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: BLP1601-005 <br /> Everett, WA 98201 Planning Reference #: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 263.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> COMCAST PACIFIC CABLE CONST INC <br /> 1527 75TH ST SW PO BOX 573 <br /> EVERETT WA WOODINVILLE WA 98072 <br /> PHONE: 4253532078 PHONE: 4253532078 <br /> TAX PARCEL ID# 00703500002200 SITE ADDRESS: 6418 HIGHLAND DR <br /> COMCAST JOB # 194504 <br /> BORE A TOTAL OF 113F IN THE ROW. 65FT SOFT SURFACE, 48FT HARD CROSSING DRIVEWAYS OF 6418 & <br /> 6420, ALSO CROSSING HIGHLAND DR. <br /> SUNDANCE BLK 000 D-00 - LOT 22 <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. Traffic Control must be done in accordance with the approved Traffic Control Plan (as <br /> modified) dated 03/14/2016 and MUTCD Standards as applicable. (Copy attached) w <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 /> Inspector. <br /> 6. Restore suface of trench area to like or better condition. <br /> 7. There should be at least a minimum of 5ft separation between City of Everett utilities O <br /> and directional boring/pavement cuts. <br /> 8. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior O <br /> to starting construction, to evaluate traffic control set-up, and with other inspection E..� <br /> requests. See attached to request an inspection. <br /> Public Works Permit Fee Breakdown: O <br /> Cut/Bore Street/Alley Non-Parallel (4.8LF) $144.00 <br /> Cut/Bore Street/Alley Parallel (79LF) $79.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 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 /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <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 />