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PUBLIC WORKS PERMIT DateApplied: 10/1/2015 <br /> City of Everett Permit Services Public Works Permit#: PW1510-001 <br /> 3200 Cedar Street, 2"d Floor Associated Bldg Permit#: PW1504-042 <br /> Everett, WA 98201 Planning Reference#: SEPA14-017 <br /> (425) 257-8810 Public Works Fee: $0 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Alpine Heights Development LLC NATE PERKL <br /> 120 SW EVERETT MALL WY <br /> EVERETT, WA, 98204 , , <br /> PHONE: PHONE: 4259532804 <br /> TAX PARCEL ID#: 28050800300100 SITE ADDRESS: 7828 BROADWAY <br /> DESCRIPTION: PUD CONDUIT BORING <br /> Bore PUD conduits across Broadway. Excavate pits on both sides. <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. Contact the City of Everett Public Works Inspector Jim Knappert at 425-339-7404 prior to starting construction, to <br /> evaluate traffic control set-up, and with other inspection requests. See attached to request an inspection. <br /> 5. Restore pit areas to like or better condition. <br /> 6. Keep City streets clean at all times. <br /> 7. Any neccessary Traffic control shall meet MUTCD standards or better. <br /> Public Works Permit Fee Breakdown: <br /> Cut/Bore Street/Alley Non-Parallel 90LF) $270 <br /> PW Plan Review$20.00 <br /> PW Site Inspection $20.00 <br /> City of Eve�ett O�cial Use Only ACKNOWLEDGEMENT OF CONDITlONS <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 /> Appr e Or onstruc � � Works) Date for and further agrees to remove same upon notice from the City and to <br /> replace public property damaged thereby. <br /> �--�; -�- � �7- I�' <br /> NAL INSP O Date <br /> Approved as Constructed (PW Inspector) Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 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 />