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PUBLIC WORKS UTILITY Date Applied: 4/11/2019 <br /> Permit#: PW1904-028 <br /> OLT PERMIT Parent Permit#: <br /> Permit Type: PUBLIC WORKS UTILITY <br /> City of Everett Permit Services 3200 Cedar Street, 2"d Floor Permit Subt e: OTHER ROW WORK <br /> yp <br /> Everett, WA 98201 Permit Fee: $4190.00 <br /> (425) 257-8810 <br /> UTILITY COMPANY NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MASTEC NORTH AMERICA INC Aaron Ledvina <br /> PO BOX 70 22722 29th Dr SE <br /> SHEVLIN, MN, 56676 Bothell, WA, 98021 <br /> PHONE: 2187852171 PHONE: 2067156372 <br /> TAX PARCEL ID#: 00411300601702 SITE ADDRESS: 3922 COLBY AVE <br /> DESCRIPTION: MCI Metro Franchise Permit# 1801AVAO.1 0_ROW_EVT_1 137 <br /> See description of work <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <br /> PERMIT CONDITIONS: <br /> 1. 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 /> 2. Call Location Underground Service 72 hours before you dig. TOLL FREE NUMBER 811. <br /> 3. Traffic Control must be done in accordance with MUTCD Standards and the Traffic Control Plan approved by City of <br /> Everett dated 04/22/2019. <br /> 4. 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 /> 5. Street restoration must be done per COE Standard Drawing #326 and trench restoration per#614, or as directed by the <br /> City PW Inspector. Permanent restoration must be completed within 2 weeks of completion of utility work. <br /> 6. Full lane width grind and overlay is required for trenches greater than 100' in length, multiple cuts within a 100' length <br /> section, and/or as directed by the City PW Inspector. <br /> 7. A minimum of 5ft separation between City of Everett utilities and directional boring/pavement cuts shall be maintained. <br /> 8. Inspections are required for all stages of construction. Visit the City's Online Permitting Portal at pw.everettwa.gov to <br /> formally request all required inspections. Inspections are required for job start notification, potholing all City utilities, <br /> evaluation of traffic control set-up, to view the work prior to backfill, and after final restoration to final the permit. <br /> 9. Potholing required for all crossings over/under City of Everett water mains. <br /> 10. Coordinate with adjoining businesses/homeowners to minimize obstruction of commerce/access. <br /> Public Works Permit Fee Breakdown: <br /> Cut/Bore Alley/Pavement(Parallel) (3175 LF)..............$3175.00 <br /> Cut/Bore Alley/Pavement(Non-Parallel) (325 LF)..........$975.00 <br /> PW Plan Review..............................................................$20.00 <br /> PW Site Inspection..........................................................$20.00 <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> By purchasing this permit and commencing work,the <br /> owner/applicant hereby agrees to hold and save harmless <br /> the City of Everett from any and all claims for damages, <br /> 04/22/2019 costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the <br /> improvement or other right-of-way use here to applied for <br /> Approved for Construction, Public Works Dept. Date and further agrees to remove same upon notice from the <br /> City and to replace public property damaged thereby. <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 />