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

PUBLIC WORKS PERMIT Date: 12/26/2013 `�_ Public Works Permit#: PW1312-012 ., f--J City of Everett Public Works Department 3200 Cedar Street Building Permit#; Everett, WA 98201 Planning Reference#: (425)257-8810 Public Works Fee$: $ 25.00 Other$: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: SHELL OIL PRODUCTS, U.S. BLAINE TECH SERVICES, INC. 20945 S.WILMINGTON AVE. 20735 BELSHAW AVE. CARSON CA 90810 CARSON CA 90746 PHONE: 4254131164 PHONE: 3108854455 TAX PARCEL ID# SITE ADDRESS: 1816 112th st SE DESCRIPTION OF PROPOSED WORK: GROUND WATER MONITORING (12/26/2013 11:06 AM BES) ROUTINE GROUND WATER MONITORING OF EXISTING WELL(MW-16) 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 12/24/2013 by the traffic engineer. 5. Contact City of Everett inspector Cliff Lindman 425-339-7404 prior to starting construction. 3 • WIX r . l m a ISI r. rr r•a n- r c i r• rj 0 8 O 78 <=1: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 or other right-of-way use hereto applied for and further agrees I •p •ved for Con ;Fon D- e to remove same upon notice from the City and to replace public property damaged thereby. FINAL INSPECTION Date /Z Z7/!5 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.