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- I* Date: 6/20/2016 <br /> PUBLIC 9ORKS PERMIT <br /> Public Works Permit#: PW1606-034 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MARK CHANDLER TOC HOLDINGS ROB HONSBERGER HYDRO CON LLC <br /> 2737 WEST COMMODORE WAY 510 ALLEN ST SUITE B <br /> SEATTLE WA 98199 KELSO WA 98626 <br /> PHONE: PHONE: 2068566679 <br /> TAX PARCEL ID# 00582202200300 SITE ADDRESS: 4231 RUCKER AVE <br /> ABANDON 4 MONITORING WELLS <br /> (6/20/2016 10:17 AM BES) <br /> ABANDON 4 MONITORING WELLS IN THE ROW. REMOVE MONUMENTS AND BACKFILL W/CONCRETE AND <br /> FINISH TO GRADE ASPHALT <br /> SOUTH PARK ADD TO EVERETT <br /> REPLAT BLKS 19 TO 28 BLK 022 D-00 <br /> -S 75 FT OF LOT 3 &ALL LOT 4 LESS <br /> VW TO CITY EVE PER SWD REC AFN <br /> PERMIT CONDITIONS 200211200173 <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 (asr F1 <br /> noted) dated 06/20//2016 and MUTCD Standards as applicable. <br /> 5. Any damage to City improvements (sidewalk, curb, roadway, etc.)shall be replaced <br /> per City of Everett Standards and as directed by the City Public Works Inspector. 7;r7 M <br /> 6. Street restoration must be done per City of Everett standard#316 and trench <br /> restoration per standard#610 or as directed by the City Public Works Inspector. r_ 771 <br /> 7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 ,... <br /> prior to starting construction, and with other inspection requests. "- <br /> >� <br /> 10. Coordinate with adjoining businesses/homeowners to minimize obstruction of <br /> commerce/access. : <br /> I-ri <br /> Public Works Permit Fee Breakdown: <br /> Misc Minor Permits And/Or Plans Reviews $25.00 ; <br /> PW Plan Review$20.00 <br /> PW Site Inspection $20.00 <br /> 0 <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 /> A v for improvement or other right-of-way use hereto applied for and further agrees to <br /> onstru Date <br /> j remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> NAL INSPEMION 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 />