1815 13TH ST SEATTLE CHILDRENS NORTH CLINIC 2019-07-08

i 24t(,0. PUBLIC WORKS PERMIT Date: 6b 6 Public Works Permit#: PW1606-001 City of Everett Public Works Department '''" �---,--1 3200 Cedar Street Parent Permit#: Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee$: $ 3,718.40 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: PROVIDENCE REGIONAL MEDICAL ZGF ARCHITECTS 600 BROADWAY STE 304 925 4TH AVE STE 2400 SEATTLE WA 98122 SEATTLE WA 98104 PHONE: 2063202585 PHONE: 2065213505 TAX PARCEL ID# 29051700211300 SITE ADDRESS: 1815 13TH ST PHASE 1 SITE WORK FOR PRMC DEMOLITION, REROUTING, AND ADDITION OF SELECTIVE SITE UTILITIES, PAVING, AND LANDSCAPING; SITE REGRADING; NEW STORM DETENTION VAULT; AND RE-STRIPING OF PORTIONS OF THE EXISTING TEMPORARY PARKING LOT. SEC 17 TWP 29 RGE 05 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. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. Site Civil Work to be done per plans approved by the City of Everett Public Works Department dated 11/28/2016. 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior W to starting construction and with other inspection requests. See attached to schedule an [""I inspection. II 6. Install erosion control measures per City of Everett Standards and per plan, and Cr remove upon completion of the project prior to final approval of the permit. 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto O roadway. 8.As-built records for all water, sewer, and drainage installation must be submitted to the Public Works Inspector prior to final of permit. Z 9. An easement for the water main must be recorded prior to final of the Public Works Permit. 10. Once all aspects of the construction have been approved by the City PW Inspector, E'.a job final must also be called in before the permit can be closed out. CA [3 Public Works Permit Fee Breakdown: DEC 1 4 2016 C Grade/Fill/Excavate(3,700CY) $275.00 Al Paving (70,420SF) $352.10 CITY rOF EVERETT PW Plan Review $1,030.43 PW Site Inspection $2,060.87 ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the L I City of Everett from any and all claims for damages,costs,expenses,or 4 ,'1I A.ii Si ; '/6 causes of action that may arise because of installation and maintenance of the Appr. . for .onstr v) pat- improvement or other right-of-way use hereto applied for and further agrees to (%')/ remove same upon notice from the City and to replace public property % damaged thereby. NAL INSP.( TION Date Approved as onstructed )�/// 2-/y—/ • ature Applicant Date / WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 %YSOF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. E