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2017 <br /> PUBLIC%ORKS PERMIT ObateApplied: 8/31/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1708-064 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425) 257-8810 Public Works Fee: $65 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BRIAN COOK MIKE INGRUM <br /> 27 107th STREET SE 6612 COMMERCIAL AVE <br /> EVERETT, WA, 98208 'EVERETT, WA, 98208 <br /> PHONE: 4253470936 PHONE: 4253598937 <br /> TAX PARCEL ID#: 00544700303700 SITE ADDRESS: 6612 COMMERCIAL AVE SE <br /> DESCRIPTION: PUT 12" PIPE AND COVER DITCH <br /> (8/31/2017 3:33 PM BES) <br /> TIE TOGETHER 2-12" CONCRETE DITCH LINE. 40 L.F. SMOOTH WALL ADS 12" MIN. COVER 5/8" GRAVEL TO GRADE. <br /> 1005% CONCRETE COLARS ON BOTH SIDE <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 09/01/2017. <br /> Approved plans must remain on job-site at all times. —1, <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to stq�qip tr_uctioia'ffor a <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection re4 estk-,-�;T 7 <br /> 6. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. r� _ <br /> � 1 <br /> 7. Put 12" concrete pipe and cover ditch per City Standard. , <br /> r.a <br /> C <br /> -17 <br /> 8. Protect all existing underground utilities during construction. <br /> 1-i <br /> 9. All work constructed within the public right-of-way must be removed or relocated at the own*' e3if the City ever <br /> requires use of the right-of-way for municipal purposes. <br /> 10. Make sure you locate the water line that is close to the ditch. == <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits (Drainage Work).......$25.00 <br /> PW Plan Review.......................................$20.00 <br /> PW nspection....................................$20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> proved for Constructs n Public W ks) D e for and further agrees to remove same upon notice from the City and to <br /> replace public property dama d thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Sig natur pplicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />