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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />•3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />POWDERMILL PHASE 1 LLC <br />6840 FORT DENT WAY SUITE 350 <br />SEATTLE WA 98188 <br />PHONE: <br />Date: 3/27/2015 <br />Public Works Permit #: PW1503-047 <br />Buildinq Permit #; B1503-026 <br />Planninq Reference #: SEPA 09-004 <br />Public Works Fee $: $ 11,504.16 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />Donnie Belk <br />PHONE: 2068383846 <br />TAX PARCEL ID # 28040300400800 I SITE ADDRESS: 6307 36TH AVE W BLDG C&D <br />DESCRIPTION OF PROPOSED WORK: <br />PW FOR NEW SHELL BLDGS C & D-POWDER MILL BUSINESS CENTER f 3D7 3 0'WvQjk)—� <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. Site Civil work to be performed per plan dated 6-3-15 by Everett Public Works. <br />5. Keep city streets clean at all times. <br />1 Hi <br />6. Please contact your Public Works Inspector before beginning work. <br />r <br />Asphalt paving $774.00� <br />Plan review $3576.72 <br />�6 <br />Inspection $7153.44 <br />LTt <br />�-� •��.i <br />per, <br />Cr L'7 —.7 •-7 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <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 CITY UPON ANY STOPPAGE <br />`O/F�WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />L �/ �' <br />