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PUBLIC WORKS PERMIT Dale <br />f C�h� o' Fvere!t Pubho Works De�+'Ti�i'oiltll' iNiJ; iQljy bhc Works Permit tJ <br />, : ,. , ,, ,,, , 32Co de'd�l.street G�6 � '��jla'1"�' Buildinq Perm�t # <br />' Lveren wA 98�01 �lar�nmq Reference # <br />� a; 5 i'29 �ili8'1.011Cr i �`; <br />Publ�c Works Fee S <br />i i;�I+�F; i:`,.i�:� Other $ <br />OWNER NAME AND ADDRE55. <br />SHELL OIL <br />26828 MAPL[ VALLFV HWY <br />MAPLE WA 98038 <br />VALLEY <br />PMONE <br />fAX PARCEL ID N 00494200�00100 <br />i;li�G I APPLICANjNAMEANDADDRESS� <br />DESCRIPTION OF PROPOSED WORK. <br />INSTALL h90NITORING WELL FOR SHEI.L OIL <br />PERMIT CONDITIONS <br />ckn <br />PHONE: <br />SITE ADDRCSS� 181�i 112TH ST SE <br />6/23�?01 1 <br />PVJ1106-023 <br />52500 <br />t All calls for mspectwn shali be made 24 hours �n advance <br />Z All work shall be performetl �n accordance wdh ihe permd an� current Cdy �f Everett Des�gn a�d ConsUuct�on Standartls <br />and Speaf�cabons <br />3 Cali LocaUon Underground Serv�ce 48 hrs before you dig TOLL FREE NUMBER 811 <br />4 Instali weil outsde ot normai Ure Irackmg ol Iravel lane <br />5 CALL CLIFF UNDh1AN �T 475 J35 'a04 pnor lo stah�ng work ard for t�nal �nspect�o� <br />n�.v,r���wit.or,� racN� or coH��nnr,s <br />R��� w,J�vsigned owner�appl�canl h�reby agre�s!n ���d�l an�l <br />___ __ _ __ ___ _ _ . _ _ __. _ . _ �,dv�� hannless ihc Gity of Cveretl Irom any and an �ia��rs for <br />dainage; cosis. expenses or causes of acbon Ihat m;�y ans�� <br />�/ Lrcausc ol u�slallabon and ma�ntenance ol Ihe �mpmvemenl <br />/, ��f y / 39-�/ oi otl�er right ol�way usc hrieto applicA lor �nd I�uP,cr ,iyr����; <br />'�f�� " r� V`---s- �— lo rCi�iove same upon �iu��ce Irom Ihe ��Iy:+��i710 re, la�.� <br />Appr ved fcr Consirudion Ualr publ�c piopeny damayed Ihe�eby <br />�-/�.���� �j D�v 3o I1 <br />" AL INSP[CTION Date <br />Approved as Constructed S�gnature f pphcant a�a" {1 Uate <br />IYORK AUIHOPI:FU Av THIS PERhtll 'dU51 HF S7�PiED WI�HIN :PO DAVS OF DATE VFR'dIT IS ISSUfD AP:D THFH�AF i FR IS t0 PF DI! IGB771 � <br />I'UNSUFD TO CO'�1P�fTiON TIIIS �'[R'.t�i h1AY H( : A'ICR lfD �` 1Hf CI�� U�OV FN1 SInV�AGf OV �hORk (lY iHIS �'R(IIFI�I OVfP 90 pA�, ('i_I4A1P�'! <br />