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

PUBLIC WORKS PERMIT Date: 2/10/2012 City of Everett.P6blic Works b dice' ) 09:01 Public Works Permit#: PW1202-007 32 cedar StreeliEb-1 034670 Building Permit#; Everett,WA 98201 CT Flianning Reference#: (42512-571011007 Public Works Fee$: $ 45.00 1 OTHER $4%.00 Other$: OWNER NAME AND ADDRESS: CARD APPI;;,I'CANT NAME AND ADDRESS: SHELL OIL BLAINE TECH SERVICES 26828 MAPLE VALLEY HWY 207356 BESHAW AVE. MAPLE WA 98038 CARSON CA 90746 VALLEY PHONE: PHONE: 310885445 TAX PARCEL ID# SITE ADDRESS: 1816 112TH STREEET S.E. DESCRIPTION OF PROPOSED WORK: GROUND MONITORING (2/10/2012 1:17 PM BES) ROUTINE MONITORING, SAMPLING AND MAINTENANCE OF EXISTING 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.. W . CA P4 O z O O 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 /� .1 , /0 tort' or other right-of-way use hereto applied for and further agrees — to remove same upon notice_ from the City and to replace Al proved for Constru•�:�' Dat= public property d-••-•ed thereby. 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.