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PUBLIC IORKS PERMIT <br />City of Everett Public Works Department <br />�-�, ��, 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />CITY OF EVERETT PARKS <br />PHONE: <br />TAX PARCEL ID # <br />DESCRIPTION OF PROPOSED WORK: <br />EXCAVATE AND REPLACE CONTAMINATED SOIL <br />Date: 6/25/2015 <br />Public Works Permit #: PW1506-047 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 613.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />3 KINGS ENVIRONMENTAL <br />PO BOX 280 <br />BATTLE WA 98604 <br />GROUND <br />PHONE: 3609495672 <br />SITE ADDRESS: 145 ALVERSON EjLVD <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. Site Civil Work to be done per plans approved by the City Public Works and Parks Department dated 7/9/2:0';15. ';°' <br />. ... <br />,.,,; <br />,.... �- . <br />5. TESC and SWPPP by 3 Kings Evironmental dated 06-02-15 must be adhered to during this ct�nst��i�'kll5n ::: : <br />process. - - �'' <br />,.... <br />. � -- � `,. <br />6. Keep City streets clean at all times. -:' <br />�' � =; <br />,!.. <br />Public Works Fee Breakdown: <br />Erosion Control $200 <br />Excavate/grading $413 <br />.ti� � <br />Ap e r � bnstr �'n <br />� �. <br />,� <br />NAL INSP TION <br />Approved a� onstructed <br />"� f �'� �> <br />Date <br />�- ��� - I � <br />Date <br />�: <br />�;,i .r�:� t,=� <br />' a->. r.;� <br />��w,7 `' - <br />_":; ; <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 all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and mainten ce of the improvement <br />or other right-of-way use hereto ap i d for and further agrees <br />t ov same upon notice from �ie ity and to replace <br />public�propeft-y_.d�ma,@e� thereby.� <br />Signature of Applicant <br />Date <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 COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� vJ <br />