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--- I'UBLIC WORKS PERMIT <br />� '" C ty of [verett Publ�c Works Department <br />;,`�,,,� ,, 3200 Cedar Slrzet <br />�`�`' ""�"' Fveretl WA 98201 <br />�' i475) 257-8810 <br />OWNER NAME AND ADDRESS� <br />SHELL OIL PRODUCiS U S <br />20945 S VJILtr11NG70N AVE <br />CARSON �q 90fl 10 <br />PHONE: 42541311G4 <br />TAX PARCEL ID q Q0494200400200 <br />DESCRIPTION OF PROPOSED WORH: <br />REP�IR GROUNDVJATER Fv10NliORING WELLS-� �� <br />f)ale �Or:8;2013 <br />Pubhc �iJorks Pern•d # F'V'J 1310-014 <br />f3Uildinq Pernut # <br />Planninq Reference # <br />Pubtic Work: Fee 5 5 4� 00 <br />Other 5 <br />APPLICANT NAME AND ADDRESS� <br />Cor�srocn r�ovERs,. <br />:�+I�:�Q�I�F�VE W <br />LYNNW000 NJA <br />PHONE 42555?8516 <br />If3036 <br />SITE ADDRESS�. 1816 112TN $T 5[ <br />f'FRMIT CONDITIONS <br />1 A'I calis for inspecLon sha�l be made 24 hours in advance <br />2 All work shall be perlormed m accordance wdh the permd and cwrent Cdy of Cve�ett Desqn and Constr�.ct�c�� Sta�,da�cs <br />and Spec�f cations <br />3 Ca�l Locat�on Underground Servicc 48 hrs before ycu d�� TOLL FREE NUMBER 811 f <br />t Repa�r any damage to s�dewalk dnveway elc per C�ty of Everett Standards � <br />5 Traffic cont�ol shou'd be per approved plan _ '. �;; � <br />fi Cnntact Cdy :rspector Cidf Lindman -025-3J9�7404 pnr,r ' � ���� ��� � <br />1n sla�i�n�j ron�IruC;iJn :��_� r.'- r'.'' - � <br />. i•� f <br />� - � � <br />,1! � � <br />� � <br />� � � �� , � _� � f <br />'l `� O <br />'., r� <br />Q. <br />`_ — <br />i � � <br />��G(. � / <br />:]�_� t: __ f'-��/ ���rn'�+�- /� / LL / <br />jipp vr_AfaCuns�Gct�cn /Date� � <br />i _ i <br />Date <br />as Conslructed <br />_O!-/ <br />i1CI�IJ��J!If I-.�,I I1�; ;lI ��{ ��.1 Ilf III���N`� <br />ihr undci�,iqn��A ne,nn.;.f14'���t.�r' hr�rr�hy n i���e•�, hi hr�4f �ird <br />savice hmmless the Qty c�l Lverr.tl Lnm any and all rlaims fm <br />dainayes, cost; eapr.nses or caases of aclion th�I may a�is�� <br />bec.au,e of mslallaPnn anA mau�tenarce ol t�e �mnrov�ment <br />or olher nght�ol�way use herelo applied Inr and furthrr ,i�.-�rra��, <br />to rrinove same upon nobce from Ihe City and to iep6¢ o <br />hc pioperty damaged thereby <br />%/ �IIJS�I''— <br />�� <br />S�yn�ture of Appl�cant D31c <br />\VUI1K AU I IIOH V fD RY TIIIS VtH'-0I� F1U;7 PF Sf AR IEU Yi11Hlh: ;60 DAt 5 OF DAit PLft'dl1 6 I55� �f f! 4�v� TII(RFAI I f R!5 ID RL URIGENiI V <br />VI I�t';U(D 10 CO'4P1 fT10"J. I HI'� fl FF1;1 f�tA1 RI CA'!( FI I FD HY fHE �I �Y IiPO'J AP.Y S10PPA(;t UF C;UHM. O'J I H� : VkC� IPC"T q:'[ � a0 DAYS UUAAi IUI. <br />