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PUBLIC IORKS PERMITateAppliedo 9%14p <br /> i7 <br /> City of Everett Public Works Department Public Works Permit#: PW1709-027 <br /> 3200 Cedar Street Parent Permit#: B1708-025 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $85.00 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BANK OF AMERICASt-Fal-EiTER-JEM cams <br /> 101 N TRYON ST <br /> CHARLOTTE, NC, 28255 , <br /> PHONE: PHONE: 5106257467 <br /> TAX PARCEL ID#: 00581900001702 SITE ADDRESS: 5019 EVERGREEN WAY <br /> DESCRIPTION: PAVING AND STALL STRIPING -BANK OF AMERICA <br /> VOLUNTARY ACCESSIBLE UPGRADES. RESTRIPING TO INCLUDE STANDARD NON-ACCESSIBLE STALLS. SCOPE <br /> ALSO INCLUDES CONCRETE WALKWAY ADDITION AND REPLACEMENT. <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 Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Site Civil Work to be done per plans approved (as noted) by the City of Everett Public Works Department dated <br /> 9/14/2017. Approved plans must remain on job-site at all times. <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction for a <br /> consultation, to evaluate Erosion/Sedimentation control set-up, and with all other inspection requests, including formwork <br /> prior to pouring concrete and striping layout prior to striping. <br /> 6. Install and maintain erosion control measures per City of Everett Standards and per the direction of the PW Inspector. <br /> Remove upon completion of the project prior to final approval of the permit. <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. <br /> 8. Protect all existing underground utilities during construction. <br /> 9. Stall striping must be in compliance with City of Everett Standard Drawing#340 (attached for reference). Compact stalls <br /> are not permitted. <br /> 10. This permit must be finaled in order to close out this permit. Call the inspection line to request final inspection <br /> (425-257-8881). <br /> Public Works Permit Fee Breakdown: Se Cize <br /> Paving $45.00 <br /> PW Plan Review $20.00 OCT 3 1 2017 11"), <br /> PW Site Inspection $20.00 <br /> CITY pF EVERFTT <br /> Perfnit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> /G6 <br /> "/ harmless the City of Everett from any and all claims for damages,costs, <br /> r ' expenses,or causes of action that may arise because of installation and <br /> --." L / maintenance of the improvement or other right-of-way use here to applied <br /> Approved for Construction (Public Works) Date for and further agre- t. emove same upon notice from the City and to <br /> rept blicc pro.erty • aged thereby. <br /> FINAL INSPECTION Date 1013 t S� <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 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 />