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PUBLIC WORKS PERMIT DateApplied: 11/12/2014 <br /> City of Everett Public Works Department Public Works Permit#: PW1411-011 <br /> 3200 Cedar Street Parent Permit#: <br /> , �, Everett,WA 98201 Planning Reference#: <br /> - (425) 257-8810 Public Works Fee: $0 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND AD[iRESS: <br /> PNW RIVERFRONT LLC Nick Abdelnour � <br /> 11624 SE 5TH ST suite 100 11624 SE 5TH ST suite 100 D <br /> BELLEVUE, WA, 98005 BELLEVUE, WA, 98005 <br /> PHONE: 4255867700 PHONE: 4255867700 <br /> TAX PARCEL ID#: SITE ADDRESS: 4302 RIVERFRONT BLVD <br /> DESCRIPTION: SIMPSON LIFT STATION-SIMPSON SUBDIVISION <br /> WO#3590 <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for DevelopmenY. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Install erosion control measures as determined by the Public Works Inspector, such as silt fence, straw bales, swales, or <br /> erosion blankets. <br /> 5. Site Civil Work to be done per plans approved by the City Public Works dated 10/14/2015. <br /> 6. Keep City streets clean at all times. <br /> 7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction, to <br /> evaluate erosion control requirements, and with other inspection requests. See attached to request an inspection. <br /> 8. The contractor shall provide material cut sheets for City approval for the lift station components prior to installation. <br /> Public Works Fee Breakdown: <br /> Plan Review$9,566.99 <br /> Inspection $19,133.97 <br /> City ofEve�ett O�cial Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> harmless the City of Everett from any and all claims for damages,costs, <br /> expenses, or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed (PW Inspector) Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMif MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />