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PUBLIC WORKS PERMIT Date: 5/18/2017 <br /> F,a City of Everett Public Works Department <br /> Public Works Permit#: PW1705-031 <br /> Acifigr., .r 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 190.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EVERETT PORT OF EVERETT PORT OF <br /> 1205 CRAFTSMAN WAY STE 200 1205 CRAFTSMAN WAY STE 200 <br /> EVERETT WA 98206 EVERETT WA 98206 <br /> PHONE: 4253880720 PHONE: 4253880720 <br /> TAX PARCEL ID# 29051800301700 SITE ADDRESS: 1001 14TH ST <br /> PRE-LOAD FUTURE HOTEL SITE <br /> Pre-load future commercial site with approximately 700CY of clean fill. Pile will be covered with plastic sheeting and will be <br /> in place for approximately 6-12 months. Haul route attached to site plan. Fill coming from Port's South Marina Terminal, <br /> work under a separate permit. <br /> Current site address is 1001 14th St. Address will become 1002 Millwright Loop S once Port's build-out occurrs. <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. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto <br /> roadway. <br /> 5. Hauling and pre-load to be done per plans approved by the City of Everett Public <br /> Works Department dated 5/18/2017. <br /> 6. Install erosion control measures per City of Everett Standards and/or as directed by M"I <br /> the Public Works Inspector. <br /> 7. Contactor/Hauler to contact the City of Everett Public Works Inspector Randy Allen at <br /> 425-339-7403 to approve the erosion control measures on-site. O <br /> 8. Erosion control/plastic sheeting shall be frequently inspected and maintained in <br /> accordance with the SWPPP that was approved for the adjacent Fisherman's Harbor. <br /> Any required maintenance to the erosion control measures shall be addressed Z <br /> immediately. n 0 <br /> Public Works Permit Fee Breakdown: /�v <br /> [10 <br /> Grade/Fill/Excavate (700CY) $170.00 <br /> PW Site Inspection $20.00 MAY 19 2017 <br /> CITY OF EVERETT p-+ <br /> Permit Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> jatinAik_ City of Everett from any and all claims for damages,costs,expenses,or <br /> 31/3/06/7- 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 /> Approved for Construction Date remove same upon notice from the Ci and to replace public property <br /> damage thereby. <br /> FINAL INSPECTION Date 1/(7/4 e4 0 Cit <br /> Approved as Constructed gnature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND TH FTER 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.4 <br />