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PUBLI�ORKS PERMIT • Date: 1/24/2017 <br /> Public Works Permit#: PW1701-021 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> ��� Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 45.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: PPLICANT NAME AND ADDRESS: <br /> MUKILTEO WATER AND WASTEWATER DISTRICT MUKILTEO WATER AND WASTEWATER DISTRICT <br /> 7824 MUKILTEO SPEEDWAY 7824 MUKILTEO SPEEDWAY <br /> MUKILTEO Wq 98275 MUKILTEO WA 98275 <br /> PHONE: 4253553355 PHONE: 4253553355 <br /> TAX PARCEL ID# 00433600006301 SITE ADDRESS: 208 LAMAR DR <br /> REPLACE WATER MAIN AND RESTORE ROAD <br /> PERMIT FOR PORTION OF WORK LOCATED IN CITY OF EVERETT LIMITS. ROAD TO BE RESTORED TO WSDOT <br /> STANDARDS AND WATER LINE INSTALLATION PER MUKILTEO WATER &WASTEWATER DISTRICT STANDARDS. <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 �;j .�,a:;,;; <br /> 4. Site Civil Work to be done per plans approved by the City of Everett Public Works `'�' ' '-'' <br /> ;......��...... --= a <br /> � ��� <br /> Department dated 1/24/2017. ��r��, --i " <br /> 5. Contact the City of Everett Public Works InspectorJim Knappert at 425-339-7404 ��; ,_...,;-,, ;=' w <br /> prior to starting construction and with other inspection requests. : : �.�:s'�''_ '-;; [�I <br /> 6. Install erosion control measures and remove upon completion of the project prior to '<�; M"'� <br /> i".J -�i.t r_� r^ <br /> final approval of the permit. �--• ����- �� <br /> �,, <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto �-"-=�"- � <br /> roadway. �: ; <br /> 8. Protect existing underground utilities during construction. '�''' ' � � <br /> 9. Coordinate with adjoining businesses/homeowners to minimize obstruction of r� ='- � <br /> commerce/access. ��::�a �;;� ` Z <br /> i, 'c e �aTi I <br /> e y.a' <br /> Public Works Permit Fee Breakdown: °V'�'�'`_' :-�,�_��" � � <br /> ---i�.a=�t,". <br /> Misc. Minor Permits& Plan Review...........$25.00 �-'� � <br /> ...� <br /> PW Site Inspection....................................$20.00 '�"��� <br /> � <br /> 0 <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 /> ���� causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Dat improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date � ���/7 <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 TH�OJECT OVER 90 DAYS DURATION. <br /> F,�� � ( � � <br />