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q <br /> PUBLIC � Date: : !RKS PERMIT • .15 <br /> Public Works Permit#: PW1608-069 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: PW0606-008 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 816.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: A LICANT NAME AND ADDRESS: <br /> BENSON BOYD H J MARK WOLKEN &ASSOC <br /> PO BOX 219 V 2903 B HEWITT AVE <br /> FREELAND WA 98249 EVERETT WA 98201 <br /> PHONE: 3603215374 PHONE: 4252520320 <br /> TAX PARCEL ID# SITE ADDRESS: 501 E MARINE VIEW DR <br /> COMPLETE FILL STARTED PREVIOUSLY <br /> THIS FILL PERMIT INCLUDES 52,000 CY AND NECESSARY EROSION CONTROL. SEPA06-014 <br /> PHASE 1 WORK ONLY. <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 IT.; -I ; <br /> �.7 <br /> ti <br /> 4. Work to be done per plans approved by Public Works dated 09/02/2016. F-1 T ' r, <br /> i4—e�•� r,mcr "' FSI <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior z'. -° - . ESI <br /> to starting construction and with other inspection requests. See attached to request an <br /> inspection. rn <br /> 1 ILA <br /> 6. Work to be done according to SEPA 06-014 conditions&requirements. Phase 1 only. 8 0 <br /> 7. Provide a survey showing final grades upon completion or stopage of work. <br /> sr <br /> GO c,rar•.�raLii <br /> Public Works Permit Fee Breakdown: Y` ~` ' <br /> Erosion Control $50.00 8 ' 8 c <br /> Misc. Minor Permits(Drainage Work) $25.00 --a <br /> PW Plan Review $20.00 '" `' <br /> PW Site Inspection $20.00 <br /> Grading/Fill/Excavation $701.00 <br /> PLANNING DEP—"\t/ `p2- / 40 <br /> moi- LJELr- e>1.1 ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> -/6 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 /> Ap ved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged t ereby. <br /> FINAL INSPECTION Date —3v —IG <br /> Approved as Constructed ,.nature of Applicant Date <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 /> V 2,01 <br />