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U .o Ld� �TTd(QEM � „ r IT Date: 8/14/2013 <br /> Public Works Permit PW1308-009 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit##; <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 290.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MARS HILL CHURCH JASON SOUZA <br /> 1411 NE 50TH STREET 17921 BOTHEL EVERETT HWY <br /> SEATTLE WA 98107 1 WrHELL WA 98012 <br /> PHONE: 7605678066 PHONE: 4253902300 <br /> TAX PARCEL ID# SITE ADDRESS: 2730 OAKES AVE <br /> DESCRIPTION OF PROPOSED WORK: <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 control 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 /> ;;°!•-_=iM��: FSI <br /> 8. Dispose soil to an approved/appropriate site. <br /> 9.The contractor must meet with the public works inspector `==' <br /> Prior to starting construction Randy Allen 425-339-7403PIP <br /> :...Y is <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 /> / 13 or other right-of-way use hereto applied for and further agrees <br /> d for Const cti n D to to remove same upon notice from the City and to replace <br /> p public property damaged thereby. <br /> FINAL INSPECTION Date b' 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 />