8525 EVERGREEN WAY 2019-02-05 - Laserfiche WebLink

PUBLIC mORKS PERMIT =ate Applied: 1/2/2018 City of Everett Public Works Department Public Works Permit#: PW1801 001 3200 Cedar Street Parent Permit#: Everett,WA 98201 Planning Reference#: (425)257-8810 Public Worlls Fee: $65 JAN 2018 OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: CITY OF EVERETT JOHN GARDIN 3200 CEDAR ST 43530 SE NORTH BED WY EVERETT, WA, 98201 NORTH BEND, WA, 98045 • PHONE: 4252578810 PHONE: 4258645547 TAX PARCEL ID#: SITE ADDRESS: 8525 EVEREGREEN WAY DESCRIPTION: APS TO POTHOLE (1/2/2018 9:09 AM BES) APS TO POTHOLE EXISTING UNDERGROUND UTILITIES TO DETERMINE THE DEPTH AND LOCATION FOR DESIGIN PURPOSES. 4 POTHOLE LOCATIONS TOTAL. THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES PERMIT CONDITIONS: 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett`Design and Construction Standards and Specifications for Development'. 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. 4. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of Everett dated 12/26/2017. 5. Any damage to City improvements (sidewalk, curb, roadway, etc.)shall be replaced per City Standards and/or as directed by the City PW Inspector. 6. Street restoration must be done per COE Standard Drawing#326 and trench restoration per#614, or as directed by the City PW Inspector. Permanent restoration must be completed within 2 weeks of completion of utility work. 7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction, to evaluate traffic control set-up, with other inspection requests, and to final the permit. 8. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. Public Works Permit Fee Breakdown: Misc. Minor Permits (Drainage Work) $25.00 PW Plan Review $20.00 I PW Site Inspection $20.00 4 JAN '® ?o'8 eirt, Ok L„,, City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDIT:DM The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages,costs, / 2 ze/4Q expenses,or causes of action that may arise because of installation and 11 maintenance of the improvement or other right-of-way use here to applied ° ' Apr, for Construction (P 7.17 Works) D.te for and further agrees to remove same upon notice from the City and to replace public property damaged th eby. FINAL INSPECTION Date 67/ Approved as Constructed (PW Inspector) Signature of Ap icant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION.