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PUBLIC ORKS PERMIT Date: 7/29/2016 <br /> Public Works Permit#: PW1607-057 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> '''‹400r Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 65.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SSLM PROPERTIES LLC SSLM PROPERTIES LLC <br /> 3600 SMITH AVE 3600 SMITH AVE <br /> EVERETT WA 98201 EVERETT WA 98201 <br /> PHONE: 5033301781 PHONE: 5033301781 <br /> TAX PARCEL ID# 29052900201200 SITE ADDRESS: 3600 SMITH AVE <br /> SITE WORK TO SUPPORT DEMO OF BUILDINGS <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. Site Civil Work shall consist of building removal, utility cap-offs, cleanup, and erosion <br /> control measures. No grading/digging shall be permitted. See attached 'Exhibit D to <br /> Agreement of Purchase and Sale of Real Property' for detailed scope of work. <br /> 5. Contact the City of Everett Public Works (PW) Inspector Randy Allen at Es* <br /> 425-339-7403 prior to starting construction and with other inspection requests. <br /> 6. Install erosion control measures (as directed by the PW Inspector) per City of Everett <br /> Standards and remove upon completion of the project prior to final approval of the <br /> permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. Dust control is required as needed. <br /> 8. Please reference SEPA16-017 Final Determination of Non-Significance for additional 'Z <br /> conditions regarding construction and protection of exisitng underground utilities. <br /> Contact the City's Water Department (425-257-8827) and Sewer Department <br /> (425-257-8828) to coordinate demolition near City's Water and Sewer Mains. <br /> 9. Contact the City's Traffic Engineering Department for Oversize Load Permits <br /> (425-257-8810, Press Option 7 for Traffic). O <br /> Public Works Permit Fee Breakdown: �I <br /> Misc. Minor Permits (Erosion Control) $25.00 <br /> PW Plan Review $20.00 <br /> PW Site Inspection $20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> Ler <br /> e City of Everett from any and all claims for damages, costs,expenses,or <br /> L�i�tJ fes! � 9 z/'6 causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Date 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 VL4k.,„*,,..1\ 6 I ,^^""-"). ®Jl <br /> Yt Approved as Constructed Si9 Ppnature of A licant 4 $.161�� DL)-O?I. <br /> te <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 THIS PROJECT OVER 90 DAYS DURATION.�� <br />