3003 W CASINO RD BASE FILE 2016-05-12

PUBLIC WORKS PERMIT Date: 5/12/2014 eli 140/,_,LP. City of Everett Public Works Department Public Works Permit#: PW1405-020 3200 Cedar Street Building Permit#; T Everett, WA 98201 Planning Reference#: (425) 257-8810 Public Works Fee$: $ 645.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: BOEING COMPANY MEYER MICHAEL/URS CORP PO BOX 3707 MS 1 F 09 1504 4TH AVE STE 1400 SEATTLE WA 98124 SEATTLE WA 98101 PHONE: PHONE: 2064382226 TAX PARCEL ID# 28041500400500 SITE ADDRESS: 94TH ST SW&29TH AVE W DESCRIPTION OF PROPOSED WORK: SOIL & SEDIMENT REMOVAL INTERIM ACTION (IA) -Ot [ 4 CF cyo 3 lu. a61- ,A 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. Per plans submitted by URS approved 5/12/2014. Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for any questions and/or inspections. >.__ :_.., Cin C 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 � i or other right-of-way use hereto applied for and further agrees ®''� �� Z �� to remove same upon notice from the City and to replace Approved for Construction Date public property damaged thereby. FINAL INSPECTION Date (.f`iU 0,5 ti 5l 111(4 Approved as Constructed Sign ure 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. C.&