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PUBLIC �ORKS PERMIT � Date: 12/28/2015 <br /> Public Works Permit#: PW1512-029 <br /> City of Everett Public Works Department <br /> � <br /> 3200 Cedar Street Pareni �ermit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 85.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MUKILTEO WTR &WASTE WTR DIST. MICHAEL GIESEKE <br /> 7824 MUKILTEO SPEEDWAY 701 DEXTER AVE N#2_00 <br /> MUKILTEO �/�/q 98275 SEATTLE WA 98109 <br /> PHONE: PHONE: 2062820860 <br /> TAX PARCEL ID# SITE ADDRESS: 10705 HOLLY DR <br /> UPGRADE HOLLY DRIVE LIFT STATION <br /> UPGRADE TO THE EXISTING MUKILTEO SEWER DISTRICT LIFT STATION. INCLUDING 10FT DIAMETER WET <br /> WELL AND TWO PUMPS AND OTHER APPURTENANCES. INCLUDES 280 FT OF 6' HIGH FENCE WITH 3400 SF OF <br /> PAVI NG. <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 _ ,n:,,,�; :;. <br /> �:, <br /> 4.Provide temporary erosion control as indicated in G and O upgrade plan dated Dec. ' �� <br /> ,i <br /> 2015 and submitted to the City on Dec 28th, 2015. � �:� „ - ' <br /> 5. Asphalt restoration work shall be done per plan approved by Public Works dated � � , " w <br /> 1-6-16. ; E"'� <br /> 6. No dirt, mud, rocks, or debris to be tracked onto roadway M�I <br /> 7. Removal of the trash and debris from the stream channel and removal of the -=;�;�� <br /> non-native holly and bamboo in the stream buffer is required. ;=j� <br /> 8. Contsct the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 ;:�o <br /> prior fo srartir�g construction and with all other inspection requests. See aitached to ��;�� <br /> i�;;� <br /> request an inspection. ;;� =.?� <br /> 9. At least 2 "critical Area" signs shall be purchased from the Permit Services counter �°�t� ��°'' '"-F '°'" `-''� <br /> ;�� r,,.;r;1".-.7 f....� <br /> and placed on the new fence as indicated on the site plan. �� '�_�_"��"� <br /> _.., ,w� ...�. .._. ._. <br /> ..� <br /> ,._ �.._..�,....�.._... -- <br /> �,m�,� .._.. ._� .... _. <br /> � � <br /> Public Works Permit Fee Breakdown: � ;�:;;;, <br /> PW Plan Review$20.00 " ' � <br /> PW Site Inspection $20.00 O <br /> Asphalt Paving $45.00 <br /> � <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 /> ��� ��p r'�(p 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 /> App oved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date �� - j _-� � - /� <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST B[STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEi�ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />