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PUBLICtIORKS PERMIT Date Applied: 3/12/2018 <br /> City of Everett Public Works Department Public Works Permit#: PW1803-038 <br /> 3200 Cedar Street Parent Permit#: <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $45.00 <br /> 11 2 MAR Lu <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HOYT AVE HOLDINGS LLC LEWIS OLIVER <br /> PO BOX 2394 PO BOX 2394 <br /> SNOHOMISH, WA, SNOHOMISH, WA, <br /> PHONE: 4253207848 PHONE: 4253207848 <br /> TAX PARCEL ID#: 00562461300500 SITE ADDRESS: 2611 HOYT AVE <br /> DESCRIPTION: EXCAVATION ON-SITE FOR GEOTECHNICAL EVALUATION <br /> FOUR TEST PITS <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 by the City of Everett Public Works Department dated 3/12/2018. <br /> Approved plans must remain on job-site at all times. <br /> 5. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards and/,or as, <br /> directed by the City PW Inspector. <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting constructil, to 11� <br /> !R�=.! 7,2evaluate traffic control set-up, with other inspection requests, and to final the permit. <br /> 7. Install and maintain erosion control measures per City of Everett Standards and approved SVS PP/P ii: Re)ove upon <br /> completion of the project prior to final approval of the permit. " ;=3 <br /> 8. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway. ;f,,; <br /> 9. Protect all existing underground utilities during construction. :-'- <br /> 10. This permit must be finaled in order to close out this permit. Call the inspection line to request a Final for this permit, <br /> when all items have been completed. =: <br /> - <br /> Public Works Permit Fee Breakdown: F <br /> Misc. Minor Permits $25.00 <br /> PW Site Inspection $20.00 8 0 8 8 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <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 /> 0: /V /� b d A ki n 3 i I expenses,ormaintenance causesofhe'of action that or mayother arise because of installationusehereto and <br /> ✓ provement right-of-way applied <br /> Approved for Cons ruction (Public Works) D to for and furts to remove same upon notice from the City and to <br /> replace p .f .. erty damaged thereby. <br /> FINAL INSPECTION Date �-'12 -1;5' <br /> Approved as Constructed (PW Inspector) Sign. ure 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 />