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PUBLIC �IIIVORKS PERMIT Date: 8/1/2016 <br /> Public Works Permit#: PW1608-002 <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 $: $ 120.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CITY OF EVERETT IT MILNE ELECTRIC INC/ GEORGE HATLAND <br /> 2930 WETMORE AVE 14582 172ND DR SE <br /> EVERETT Vr/q 98201 MONROE �/�/q 98272 <br /> PHONE: 4252578663 PHONE: 3608639617 <br /> TAX PARCEL ID# SITE ADDRESS: 1820 PACIFIC AVE <br /> INSTALL CITY OF EVERETT FIBER OPTIC CABLE <br /> INSTALL FROM WALL ST BUILDING TO THE NE CORNER OF BROADWAY ALONG PACIFIC AVE. INSTALL 1-4" PVC <br /> ON THE SW CORNER OF OAKES AND PACIFIC FOR 80'. <br /> F'ERP�iIT Ci�FJDITIO�V� <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 /> noted) dated 08/15/2016 and MUTCD Standards as applicable. _ F ; <br /> 5. Any damage to City improvements (sidewalk, curb, roadway, etc.) shali be replaced , ', �� <br /> per Cit y of Everett Standards and as directed b y the Cit y Public Works Inspector. ' ["� <br /> 6. Street restoration must be done per City of Everett standard #316 and trench M"� <br /> restoration per standard #610 or as directed by the City Public Works Inspector. �`"' � <br /> 7. There should be at least a minimum of 5ft separation between City of Everett utilities � <br /> and directional boring/pavement cuts. ',, O <br /> 8. 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 `:L� <br /> requests. See attached to request an inspection. �`�:: {j�'�:� : � <br /> r zi ��� a <br /> iu� ) J ) <br /> 9. Coordinate with adjoining businesses/homeowners to minimize obstruction of ,;. ,, O <br /> commerce/access. <br /> � <br /> Public Works Permit Fee Breakdown: � <br /> Cut/Bore Alley/Pavement(Parallel) (80LF) $80.00 O <br /> PW Plan Review$20.00 � <br /> PW Site Inspection $20.00 <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 /> Ap oved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> r <br /> FINAL INSPECTION Date ,� ,� �`�� �� <br /> Approved as Constructed Si ature ppl cant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS DATE RM1T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY�UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> 1 I/� <br />