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IPIJ�L,�C WA11�1(� N��RIVI1�' Data: 9/19/201? <br /> Public Works Permit#: PN/1409-023 <br /> City of Everetl Pubiic Works Department <br /> � , ,-.� <br /> 3200 Cedar Street Buildinc� Permit#; <br /> Everett, WA 98201 Plannin� Reference#: <br /> (425) 257-8810 <br /> Public Works Fee 5: S 315.00 <br /> Other�: <br /> OWNER NAP,!E AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> THE RILEY GROUP ScOT <br /> 17522 BOTHELL HWY#A 2200 180th AVE N E <br /> BOTHELI WA 98011 BELLEVUE Wq 98005 <br /> PHONE: 4254150551 PHONE: 4254175344 <br /> TAX PARCEL ID# SITE ADDRESS: 2330 BROADWAY <br /> DESCRIPTION OF PROPOSEG WORK: <br /> REMOVE CONTAMINATED SQ!L <br /> (9119/2014 9:48 AM BES) <br /> REMOVE CONTAMINATED SOIL AND FILL�VITH CDf <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�vith the permit and r,urrent City ef Everett De=_i3n and ConstrucGon S'andards <br /> and Specifications. <br /> 3 Call Location Underground Service 48 hrs beforP you dig. TOl.!_FREE NUPJil3EC,811 �. �,-- <br /> , <br /> 4. Install erosion control measures per City of Everett Standards -��-•:-� r .,'= � <br /> for small parcels. �r-��-�.,;, � � <br /> 5. Remove erosion contrcJ measures upon completion of the project prior to final approval of lhc�;(���mlt.s>,-� �;f � <br /> ';�'�i l=: <br /> 6. No dirt, mud, rocks or debris to be Iracked onto the roadway. '_' ' ',:�;., '=" �„� <br /> 7. Conlaminated soil removed shall be disposed at an approved site. ;_; � <br /> 8. Prior to starting consiruction contractor must contact the City of Everett InsFector Randy Allen 425-339-7403.;`; - �- <br /> �� <br /> ` <br /> >.� �.'.� <br /> Li �h <br /> ..��; _z <br /> _�o .. .,._; =o <br /> �_;�,�,:. = <br /> _.��.�.� �_. _ _H <br /> . �:� <br /> 0 <br /> � <br /> ACKNO�,VL�DG[�4ENT OF CONDITIOPIS <br /> The undersigned o�vnedapplicanl hereby agrees to hold and <br /> save harmless lhe Cily of Fverelt fwm any and ali claims for <br /> damages,cosls,expenses,or causes oFaction thal may ari�� <br /> , � because of installation and mainlenance ofthe improvemenl <br /> /" 9 /� � or other righl-ot-rvay use herelo applied for and(urther agrees <br /> A fo Cons Date �o removc same upon notice from lhe City and to replace <br /> public property damaged thereby. <br /> /a - 6 -I� -�'//zz/�� <br /> NAL INSPE ON Dale <br /> Approved as Constructed igna ure of Applicant Date r��;� <br /> r <br /> 41'ORK AUTHORIZED UY TH15 PER�dff P1UST�[SIARTEU CJITHIN 1Cs0 DA1'S OF DATE � 11T IS ISSUED AND THEREAFTER 151 O 6E DILIGENTLY <br />