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�; • PIJBLIC WORK� �ERMIT <br />,y �'. City of Everett Public Works Department <br />fst, 3200 Cedar Street <br />:,�,�, Everett, WA 98201 <br />''''� (425) 257-8810 <br />Date: 9/12/2013 <br />Public Works Permit #: PW1309-012 <br />Buildinq Permit #; <br />Planning Reference#: <br />Public Works Fee $: <br />Other $: <br />B1309-024 � <br />SEPA11-037 <br />$ 6,894.86 <br />OWNER NAME AND ADDRESS: APPLICANT NAME. AND ADDRESS: <br />WALMART REAL ESTATE BUSINESS PACLAND <br />2001 SE 10TH ST 1505 WESTALI<tiE AVE N <br />Bentonville AR 72716 SEATTLE WA 98109 <br />PHONE: 4792734567 PHONE: 2065229510 <br />'AX PARCEL ID # 28051800405600 SITE ADDRESS: 1605 SE EVERE7T MALL WAY <br />DESCRIPTION OF PROPOSED WORK: <br />STORMWATER CONVEYANCE, LANDSCAPING, UTILITIES - WALMART <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 befere you dig. TOLL FREE NUMBER 871 � Gl � <br />4. Per approved plan dated 11I1812013. ��� � <br />Your public works inpsector is Cliff Lindman. Please call (425)257-7269 for��m� �e gy q��� <br />Z � rSrT� S �� <br />T f�Tl Cf� G � <br />G <br />�����DEC 1 1 2013 <br />CITP OF $erEces� <br />_ ����� ^/ �/� <br />Approved for Construction Date � <br />Date <br />� <br />M1� <br />� <br />v <br />� <br />y�'iv rr� m <br />�.� �- �-- - �- Ess �-- v. �— " <br />�-- w cn n� r �•i •r� w�-- <br />� N:--� o L+� �.� c> �--� o rJ (i+ <br />�MFO:�.�NO�o.6.r.t <br />GOO� n��~i1N�+Nt� <br />� <br />� <br />0 <br />I�-+ <br />G <br />v=• <br />G <br />r� <br />F <br />r9 <br />� <br />c <br />� <br />ACKNOWLERuEMENT OF CGNDITIONS <br />The undr.rsigned ownedapplicant hereby agrees to hold and <br />save harmless the Gily of Everetl from any and all claims for <br />damages, costs, expenses, or causes of action lhat may arise <br />because of installalion and maintenance of the improvement <br />or other right-of-way use hereto applied for and furlher agrees <br />to remove same upon notice (rom lhe City and to replace <br />public propeAy damaged ihereby. <br />�J IlM6/I� <br />T Approved as Constructed �� �Z �� � Signature of Applicant Date �� <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTEC WifNIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DfLIGENTLY <br />PURSUED TO COMPLEfION. THIS PERMTf MAY BE CANCELLED BY THE CiIY UPON ANY STOPPAGE OF WORK ON THIS PROJECi OVER 90 DAYS DURATION. <br />