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PUBLIC 91ORKS PERMIT 0 Date: 3/1/2016 <br /> Public Works Permit#: PW1603-004 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: B1603-006 <br /> Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 215.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PORT OF EVERETT <br /> 1205 CRAFTSMAN WAY SUITE 200 <br /> EVERETT WA 98201 <br /> PHONE: 4252593164 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: <br /> SITE WORK FOR PICNIC SAIL STRUCTURE EAST&WEST-BOXCAR PARK <br /> INCLUDES BENCHES, ASPHALT PATHWAY <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 done per plans approved by the City of Everett Public Works <br /> Department dated 4/8/2016. w <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. [--I <br /> 6. Install erosion control measures per City of Everett Standards for small parcels and <br /> remove upon completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. O <br /> 8. Protect all existing underground utilities during construction. <br /> 9. Stormwater runoff from new impervious surfaces shall disperse over vegetative <br /> surfaces. <br /> Public Works Permit Fee Breakdown: ,` O <br /> Paving (asphalt&concrete)......................$45.00 <br /> Grade/Fill/Excavate (495CY)..................$130.00 � R <br /> a 'I s <br /> PW Plan Review.......................................$20.00 <br /> PW Site Inspection....................................$20.00 <br /> C[PyrO r EVER TT <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 /> + Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date Z�r�.�C <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 /> G� <br />