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r ' <br /> PUBLIC WORKS PERMIT Date: 12/23/2015 <br /> - City of Everest Public Works Department Public Works Permit#: PW1512-023 <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference M <br /> (425)257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SNOHOMISH COUNTY PUD SNOHOMISH COUNTY PUD <br /> DAVID CERDENOLA PO BOX 1107 <br /> EVERETT WA 98201 <br /> PHONE: PHONE: 4257835107 <br /> TAX PARCEL ID# SITE ADDRESS: 911 N BROADWAY <br /> INSTALL CONDUCTOR COVERS <br /> THESE COVERS WILL MARK LINES FOR CRANE USE NEAR THEM. <br /> THIS WORK DONE IN CONJUNCTION WITH NEW WSU BUILDING. <br /> PUD NO. 100000793.03 <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. Traffic Control must be done in accordance with the approved Traffic Control Plan(as <br /> modified)dated12/3112015 and MUTCD Standards as applicable.(Copy attached) W <br /> 5. Any damage to the City sidewalk,curb,roadway,or other improvements shall be [--I <br /> replaced per City of Everett Standards and at the direction of the City's Public Works H <br /> Inspector. <br /> 8. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction, to evaluate traffic control set-up,and with other inspection <br /> requests.See attached to request an inspection. <br /> n <br /> 9. Coordinate with adjoining businesses to minimize obstruction of commerce. ' <br /> Public Works Permit Fee Breakdown: <br /> PW Plan Review$20.00 JAN 13 2016 rJ <br /> PW Site Inspection$20.00 <br /> Misc. Minor Permits$25.00 CITY op vERETT A-t <br /> "ervices <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 <br /> Const Date Improvement or other right-of-way use hereto applied for and further agrees to <br /> ;Z' <br /> remove same upon notice from the City and to replace public property <br /> ( <br /> damage hereby. <br /> INAL INSP TION ate ,y 'nLt2:�� 1/61/, <br /> Approved as Constructed //�—�� tSignat re of Applicant Datd <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED 1A!THIN 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 /> //11 ) \ <br /> 7iif' <br /> r <br />