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� � � � �� � � �� 1 � Date: 3/24/2015 <br />Public Works Permit #: PW1503-033 <br />City of Everett Public Works Department <br />3200 Cedar Street Building Permit #; <br />��— �� Everett, WA 98201 <br />(425) 257-8810 Planning Reference #: <br />Public Works Fee $: $ 40.00 <br />Other $: <br />OWIVER IdAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />DENNIS WAGNER <br />2207 EVERETT <br />EVERETT Wq <br />PHONE: 4259715798 <br />TAX PARCEL ID # <br />98201 <br />DESCRIPTION OF PROPOSED WORK: <br />GROUND WATER MONITORING <br />(3/24/2015 1:35 PM BES) <br />GROUND WATER MONITORING IN THE SIDEWALK <br />STRATUM GROUP <br />P.O. BOX 2546 <br />BELLINGHAM WA 98227 <br />PHONE: 3607149409 <br />SITE ADDRESS: 2207 EVERETT AVE <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 perCity of Everett Standard #701k. -_ � �- -_: <br />,: <br />;::; � ., � ��: ; <br />5. No dirt, mud, rocks or debris to be tracked onto roadway. - <br />6. The two(2) monitoring well shall be located the middle of the roadway. _,., �� ��=�. .'�, w <br />, -�:�� --� , <br />7. Contractor must contact the City of Everett Inspector Randy Allen 425-339-7403 prior to starting'cor�structior�;� � <br />;::.�-; �......; . ;:... <br />: . ' ,... �......,. � <br />� :�;7 ' <br />���; <br />_;:; _°�l ��: � <br />..� � <br />for Co <br />FINAL INSPECTION <br />Aoqroved as Constructed <br />� �� <br />Date <br />!� <br />;��;� - �—, <br />M., � � - � <br />::,. ` : . <br />: :�� � ';� E"{ <br />=. ,._, ...�. ...._ � <br />:,..,� �.,., :_... <br />-:, :: _' ,::..:.; � <br />_ .. �,��:' a <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 pr��y damaged the <br />�� - � �� �' fs <br />Signature of Applicant afe <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 CIIY UPON ANY STOPPAGE OF, WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />i�� <br />