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PUBLIC WORKS PERMIT Date: 3/14/2016 <br /> Public Works Permit#: PW1603-031 <br /> City of Everett Public Works Department Parent Permit#: <br /> 3200 Cedar Street <br /> -72 Everett, WA 98201 <br /> Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 470.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SNOHOMISH COUNTY PUD BEN DAVIS <br /> 2320 CALIFORNIA ST <br /> EVERETT WA 98201 <br /> PHONE: 4257838465 PHONE: 4257838465 <br /> TAX PARCEL ID# SITE ADDRESS: 1802 75th St Sw <br /> DRAINAGE MAINTENANCE FOR THE OPERATION CENTER SITE <br /> THIS PERMIT INCLUDES GRADING AND INSTALATION OF DRAINAGE TRENCHES <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 <br /> 4. No dirt, mud, rocks, or debris to be tracked onto roadway <br /> 5. Site Civil Work to be done per plans approved by the City of Everett Public Works [tel <br /> Department dated 04/13/2016. (copy attached) - <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior <br /> to starting construction and with other inspection requests. See attached to request an <br /> inspection. <br /> ' 1 ^,, <br /> Qszu <br /> Public Works Permit Fee Breakdown: ' <br /> PW Plan Review$20.00 a t#s PW Site Inspection $20.00 ty1u;; LI) <br /> Erosion Control$200.00 <br /> Grading$230.00 ° <br /> CI Off' EVERETT <br /> Permit Services .. .I <br /> 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 /> �) AZ,CA--- 4— /3-14 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 /> A ed for Co Date <br /> / <br /> p ft/ <br /> remove same upon notice from the City and to replace public property <br /> — t — r �] damaged thereby. <br /> FINAL IN '' CTION Date / j`i/r — t`/( 3�J� <br /> Approved as Constructed 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 <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 />