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PUBLIC �ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />• Date: 7/2/2014 <br />Public Works Permit #: PW1407-002 <br />Building Permit #; E1406-193 <br />Planning Reference #: <br />Public Works Fee $: $ 430.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />MUKILTEO SCHOOL DIST 6 <br />9401 SHARON DR <br />EVERETT WA 98204 <br />PHONE: PHONE: <br />TAX PARCEL ID # 28041300300200 SITE ADDRESS: 9401 SHARON DR <br />DESCRIPTION OF PROPOSED WORK: <br />TRENCHING, EROSION CONTROL-EXPLORER MIDDLE SCHOOL <br />FOR ELECTRICAL CONDUIT <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 r- <br />4. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales.;..; <br />swales, or erosion blankets. �'�= <br />,, <br />,_._.. __, ;,�:: <br />5. No dirt, mud, rocks or debris to be tracked onto roadway. <br />,r.;---� :-,-� x�-. �. <br />i ,—.... �._.. _.., -- - <br />-_r::,. rr, z_ �'��" <br />Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for any questions and/or insp��tiori��. `T; ,_.. <br />�:.. <br />: _> <br />--:� <br />:_� <br />r:::; <br />..,�� -�-z �� <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />��,:y :::; <br />�� –,w <br />„ � <br />M""j <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and ail 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 />r--. <br />, � �.] > <br />+ i �� C'��"�-� /"�'!�":�'� „ /J �� ~� <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 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 />