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U�LI V1/OR�( PERIVIIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 8/14/2013 <br />Public Works Permif �;`: PW1308-009 <br />Building Permit #; <br />Pianning Reference #: <br />Public Works Fee $: $ 290.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANi N,4ME AND ADDRESS: <br />MARS HILL CHURCH JASON SOUZA <br />1411 NE 50TH STREET 17921 BOTHEL EVERETT HWY <br />SEATTLE Wq 98107 ��THELL WA 98012 <br />PHONE: 7605678066 PHONE: 4253902300 <br />TAX PARCEL ID # SITE ADDRESS: 2730 OAKES AVE <br />DESCRIPTION OF PROPOSED WORF(: <br />SOIL EXCAVATION <br />(8/14/2013 10:50 AM BES) <br />CONTAMINATED SOIL EXCAVATION <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Traffic controi shall be per approved plan/MUTCD standards. <br />5. Install eroision control per City of Everett Standards. <br />6. Remove eroision control measures upon completion of the project prior to final approval of the permit: <br />7. No dirt, mud, rocks or debris to be tracked onto roadway. <br />8. Dispose soil to an approved/appropriate site. ;;.:a <br />9.The contractor must meet with the public works inspector ':��; � <br />Prior to starting construction Randy Allen 425-339-7403 '- - <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />�- <br />�-�-ti' • G � /�° " '`a 'l� .� <br />INAL INSPE- I Date • � 3 <br />Approved as Constructed �'Signat f A plicant Da e <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />