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2815 36TH ST 2017-09-11
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2815 36TH ST 2017-09-11
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9/11/2017 3:47:51 PM
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9/11/2017 3:47:47 PM
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Address Document
Street Name
36TH ST
Street Number
2815
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` <br /> F PUBLICOORKS PERMIT Date: 12/16/2016 <br /> _ City of Everett Public Works Department Public Works Permit#: PW1612-031 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 160.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CITY OF EVERETT NICK ABDELNOUR/ POLYGON NW <br /> 3200 CEDAR ST 11624 SE 5TH ST, SUITE 200 <br /> EVERETT WA 98201 BELLEVUE WA 98005 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 2815 36TH STREET <br /> EXCAVATE FOR PUD VAULT <br /> THIS PERMIT COVERS GRADING AND EXCAVATION WITHIN CITY OWNED LOT FOR INSTALLATION OF PUD <br /> VAULT. <br /> THIS PERMIT ALSO INCLUDES REMOVAL OF AN ADDITIONAL PUD VAULT LOCATED TO THE EAST. <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 -XI ®.{ <br /> 4. Cut back perimeter slopes to 2:1 or provide plan showing retaining structure such as <br /> rockery or retaining wall. <br /> 17)rI <br /> 5 .Work area to be as indicated on attached sketch dated 12-16-16. T <br /> r_, I-rl CQ <br /> 6. All excavated material from this site shall be hauled to an approved, permitted site. ''�_� [�I <br /> No wasting or re-use of excavated material is allowed on this lot. <br /> 7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. See attached to request an <br /> inspection. F <br /> 8. Provide any street cleaning as needed and directed by the Public Works Inspector. <br /> 9. No soils will be allowed to enter the city sewer or drainage system. <br /> 10. Erosion control to be done as indicated by the City Public Works Inspector which will �. j <br /> include silt fencing and straw orjute matting placement. <br /> 11. Restore the area where the existing vault is to be removed to conditions existing '''=' <br /> prior to installation. -" <br /> Un <br /> ._•, <br /> PUBLIC WORKS PERMIT FEE BREAKDOWN.- <br /> EROSION <br /> REAKDOWN:EROSION CONTROL $50 <br /> EXCAVATION $110 �I <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 /> 9 ✓>6 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 /> pr\ —)ed f r C structlon Date remove same upon tice from the City and to replace public property <br /> \ 10 dams eb <br /> FINAL INSPECTIO Date 1C� <br /> Approved as Constructed Signat re 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 />
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