1816 112TH ST SE 2016-06-03 - Laserfiche WebLink

PUBLIC WORKS PERMIT Date: 8/26/2011 ' f= r is?;i f ll��} 1t)` 'JPublic Works Permit#: PW1108-028 . �� City of Everett ublJc Works [ rtmt^ �� Building Permit#; 320Ci'ed r. - 012rz/?t� . rr dar Street i, Evere, t•,�'VA_98201 CT Panning Reference#: (4 1` 57'=`8.640{ 28 Public Works Fee$: $ 45.00 1 OTHER $45e00 Other$: Ti ,i-6."-� 00 OWNER NAME AND ADDRESS: ..ARD APFUtAikir NAME AND ADDRESS: SHELL OIL BLAINE TECH SERVICES 26828 MAPLE VALLEY HWY 20735 BELSHAW AVE. MAPLE WA 98038 CARSON CA 90746 VALLEY PHONE: PHONE: 3108854466 TAX PARCEL ID# SITE ADDRESS: 1816 112th STREET S.E. DESCRIPTION OF PROPOSED WORK: GROUND WATER MONITORING WELLS (8/26/2011 1:21 PM BES) MONITORING, SAMPLING AND MAINTENANCE OF EXITING GROUND WATER WELLS. PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. TRAFFIC CONTROL PER APPROVED PLAN 8/25/2011. W.4 C z C C a ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs,expenses, or causes of action that may arise because of installation and maintenance of the improvement _ ► s�i410, �, 71� or other right-of-way use hereto applied for and further agrees ` ed for Constructi•n Date 1 to remove same upon notice from the City and to replace `ppr' public pro•erty damaged thereby. - i cr ` FINAL INSPECTION Date • Approved as Constructed Signature of Applicant Date WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.