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x��: PUBLIC WORKS PERMIT Dale: Gl2312011 <br />� public Works Permit#: PW1'OG;j123 <br />C�ty ol [veiett PuEA(C Works �e{1�nit1i�1i1� 1NU) 1U.14 . <br />�f:. .-,, ...,.� 3200 �t�r. Street FEG-1 O.i1Bi1 Buildinp Permit #, <br />' """' `� Everett WA 98201 t <br />:r.';;_ � ' �laf�ning ReferenCe # <br />(425F'�18�fQIl� V�] <br />Pubhc Works Fee $' S ?5A0 <br />1 �iHER _ __325.00 Other 5 <br />OWNER NAME AND ADDRESS: <br />SHELL OIL <br />26828 MAPLE VALLEY HWY <br />MAPL[ Wq 9@038 <br />VALI FY <br />PHOH�: <br />PARCELID s C04942004002U0 <br />C„RD APP�I�JJ�NAME AND ADDRESS: <br />CRA <br />DESCRIPTION OF PROPOSED WORK: <br />INSTALL MONITURING W[LL fOR SH[LL OIL <br />PHONE: <br />SITE ADDRCSS: 1616 112TH ST SE <br />PFRD111T CONDITIONS <br />1 All ca!Is fo� mspecUon shall he made 24 hours m advan�e <br />2 All work shail be peAormed in accordance wdh the peimd and current City of Everett pesign and ConslrucUon Standards <br />anA Specdicahons <br />3 Call Location Underground Service A6 hrs before you dig TOLL FREE NUMBER 811 -- <br />4 Install well outs�de ol rormal ure traching of Vavel lane <br />5 CALI CLIFF LINDMAN AT 425-3�9 7404 pnor to start�ng woik and Inr 1 nal msper,hon W <br />E"� <br />� <br />� <br />� <br />0 <br />h <br />� <br />� <br />F <br />�� <br />O <br />ia <br />_ `=�1��� �-f�- � � a 9- i/ <br />Appr ed fcr Construction �ate <br />FINAL INSPECTION Date <br />Approved as Construded <br />ACKNONJI f.�GFh"fN! OFCONDIT�OWS <br />Rie unAe�vgned ownr.riapplir int hereby t�grees b hold Tnd <br />save harmless Ihe City ol Evcrctl hom any and all daims loi <br />domages. costs, e■penses. or causes ol acUon Ihal may anse <br />because ol installation and mmntenance ol the �mpmvemrnl <br />q� other nght-of-way usc h�•�clo aDPl�ed �o� and lurther agrees <br />lo remove same upon noUce from Ihe Ciry and lo replace <br />pubLc property damaged Ihereby <br />Signniwe ol Apphcanl DetC <br />WURN AUiHORIZED BY THIS PERMIT MUST BE STAR IED WRHIN iB0 D1V5 OF UAiE VCRMR IS ISSUfD AND THERFAFTER IS TO BE DIl IGFMLY <br />PJRSULD TO Cl:F1FI.R70N ilUS FEHMIT MAY NE CAYCLI Lt D OY TIIE CffY U�`0^! ANY STOPPAGE Of WORK ON TH6 f'ROIECT OV°R 90 DAYS DURAIION <br />