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1 0 OCT 2W <br /> PUBLIC WORKS PERMIT Date: 8/30/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1708-063 <br /> 3200 Cedar Street Parent Permit#: B1606-027 <br /> fi Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 110.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME A ' ADDRESS: <br /> EVERETT CITY OF JOHNSON TOM <br /> 3002 WETMORE AVE <br /> EVERETT WA 98201 <br /> PHONE: 111 PHONE: 063510893 <br /> TAX PARCEL ID# 00394000006600 \ SITE A• A RESS: 7410 OLYMPIC DR <br /> UNDERGROUND TRENCHING AND NEW At ESS 'R �� -MO' E <br /> REC AFN 9803020342 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 •• r '' . • ,nce. <br /> 2. All work shall be performed in accordanc- ` h th= •ermit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Se 48 1\ • - you dig. TOLL FREE NUMBER 811 1; —1 , <br /> 4. Site Civil Work to be done per p - s -.p .y the City of Everett Public Works �--�1- i-,.+-, `-' <br /> Department dated 8/30/2017. Approv- • •lan-Vj st remain on job-site at all times. C,F, ' `c24w <br /> 5. Contact the City of Everett Public Wo • .pector Jim Knappert at 425-339-7404 7T-_-•; ,_."., ;,r <br /> prior to starting construction for a consultati• , to evaluate Erosion/Sedimentation eco '' ' ; [�I <br /> control set-up, and with all other inspection equests. co H <br /> 6. Install and maintain erosion control m==sures per City of Everett Standards and as P., JG.-.:43)'z'; <br /> CA <br /> directed by the Public Works Inspector. ' emove upon completion of the project prior to '-..K�> <br /> 1.--.. <br /> final approval of the permit. p O <br /> 7. Keep City streets clean at all time No dirt, mud, rocks,or debris to be tracked onto '"` P C <br /> roadway. <br /> rn <br /> 8. Protect all existing undergroun• tilities during construction. M"". rr r 3..r+ <br /> .' F7 <br /> ,-. rsj NJ r..1.. . 1/-1 <br /> 9. Utilities must be inspected bef• e backfill. Access drive must be inspected before `"' ' '¢'d`'`" ,-a <br /> paving. pp :siosC a'a 0 <br /> —4-P-LA <br /> Public Works Permit Fee Br- down: CA <br /> Paving(Access Drive New , -rd Surfaces) $45.00 O <br /> Misc.'Minor Permits(Lind: ground Trenching) $25.00 <br /> PW Plan Review $20.00 a <br /> PW Site Inspection $20.00 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> 2 City of Everett from any and all claims for damages,costs,expenses,or <br /> /Mk& J©� causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Dat improvem-- 4 r other right-of-way use hereto applied for and further agrees to <br /> pp remove --m= pon notice from the City and to replace public property <br /> damaged t eby. <br /> FINAL INSPECTION Date . _ /�j /a�/? <br /> Approved as Constructed Sig 1 - of Applicant bate <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 STOPP GE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> rrh-- (/ <br /> / ;;p}p} <br />