2401 BROADWAY 2017-10-17 - Laserfiche WebLink

PUBLIC b40RKS PERMIT Date: 16 PW16 Public Works Permit#: PW1607-009 City of Everett Public Works Department 3200 Cedar Street Parent Permit#: Everett, WA 98201 (425) 257-8810 Planning Reference#: Public Works Fee$: $ 65.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: MR. MARK WOLKEN DOUGLAS KUNKEL 12421 23rd AVE SE 1180 NW MAPLE ST SUITE#310 EVERETT WA ISSAQUAH WA 98027 PHONE: 2069727207 PHONE: 4253950016 TAX PARCEL ID# 00439154700100 SITE ADDRESS: 2401 BROADWAY SOIL SAMPLING (7/7/2016 7:56 AM BES) SHALLOW SOIL SAMPLING IN THE R.W. PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Traffic Control must be done in accordance with the approved Traffic Control Plan (as modified) dated 07/07/2016 and MUTCD Standards as applicable. (Copy attached) - — - •�} �' 5. Any damage to the City sidewalk (#306 ) , curb, roadway, or other improvements == ; shall be replaced per City of Everett Standards and at the direction of the City's Public Works Inspector. 6. Restore suface of trench area to like or better condition. 7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7404 ,:ter .r�-3+cw. prior to starting construction, to evaluate traffic control set-up, and with other inspection x r'-.� ��Un requests. See attached to request an inspection. .,f Public Works Permit Fee Breakdown: Misc Minor Permits And/Or Plan Reviews....$25.00 O PW Plan Review ..........$20.00 PW Site Inspection ........... $20.00 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs,expenses,or causes of action that may arise because of installation and maintenance of the A for on"/v ' D to improvement or other right-of-way use hereto applied for and further agrees to pp. remove same upon notice from the City and to replace public property JJ, TV damage thereby. - FINAL INS E N Date 71Ii Approved asonstructed I Signature e Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.