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al 111 <br /> Ap... PUBLIC WORKS PERMIT Date: 7/13/2015 <br /> Public Works Permit#: PW1507-025 <br /> City of Everett Public Works Departmenttig Building Permit#; <br /> 3200 Cedar Street <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 424.13 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WASHINGTON STATE UNIVERSITY HOFFMAN CONSTRUCTION <br /> 110K FACIL OPS 1500 WESTLAKE AVENUE, <br /> VANCOUVER WA 98686 §P),\ rER WA 98109 <br /> PHONE: 3605469237 PHONE: 2069731700 <br /> TAX PARCEL ID# 29051700201800 SITE ADDRESS: 2000 TOWER ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> GRADING &TEMP GRAVEL PRK <br /> (7/13/2015 1:22 PM SEF) <br /> Regrading and installation of a temporary gravel surface lot for approximately 83 vehicles. <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 to be done per plans and drainage report approved by the City of Everett Public Works <br /> Department dated 8/18/2015. w <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction I"I <br /> CA <br /> and with other inspection requests. See attached to request and inspection. <br /> Pq <br /> 6. Provide any necessary Erosion control for this project as directed by the City Public Works Inspector. C <br /> Public Works Fee Breakdown: n � <br /> PW Plan Review$126.38 3 6 C —\ O <br /> U <br /> PW Site Inspection $252.75 <br /> Parking Lot Paving $45.00 -•-�rg , V, t1IF,,a AUG 1 9 2015 <br /> [1 <br /> li <br /> IL <br /> C <br /> 1 O� J.VE-:. F+q <br /> . DEC 1 3 201 °erre ,ices <br /> CITY OF EVERETT <br /> Permit Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> rI / I GL` 3—17-15 or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> App•.ve• for,Constr ti• Date public propey damaged thereby. <br /> f � qi "—.,'IN�LINSD.� CTION Date � <br /> Approved as Constructed Signa`ture ofjApplicant Date <br /> i <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 COMPLL I ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90,aDAYS <br /> �DURATION. <br /> P2"4 f -If.t t(J of a49! <br />