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PUBLIC WOR�'CS PERMIT Date: 7/8/2009 <br /> p-` Public Works Permit#: PW0907-008 <br /> City of Everett Public Works Departmenl <br /> ;�.��_,.�, .., 3200 Cedar Street Buildinp Permit #; <br /> �- - Everett, wA 98201 Planninq Reference #: <br /> (425) 257-8810 <br /> Public Works Fee S: S 955.00 <br /> Other 5: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRE55: <br /> EVERETT SCHOOL DIST <br /> 3715 OAKES <br /> EVERETT Nrq 98203 <br /> PHONE: 4253854190 PHONE: 3�1Z d <br /> TAX PARCEL ID# SITE ADDRESS: �664 BROADWAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> CONTAMINATED SOIL R[MEDIATION <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pertormed in accordance with the permit and wrrent City of Everett Design and Construction Standards <br /> and Speci(ications. <br /> 3. Call Localion Underyround Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. PER APPEOVED PLANS <br /> � <br /> �. <br /> � <br /> � <br /> � <br /> � <br /> � <br /> F" <br /> ; v� <br /> `;; ; �� '� �'�'�' �\�� 0. <br /> � i` 20U9I� <br /> �� JUL (� S �% <br /> { � ;�; I:1:1 �. <br /> ACKNOWLEISd� �N`�;{>F,GONDFTIONS <br /> The undersigned ownedapp��anl hereby agrees to hold and <br /> save harmless the Cily of Everett from any and all claims for <br /> damages,cosls,expenses,or causes ol aclion that may arise <br /> � because of installalion and maintenance of the improvement <br /> _ G� or other rigM-of-way use hereto applied for and furlher agrees <br /> A ro for ns ru Date � �o remove same upon nolice from the Ciry and to replac= <br /> pp �/� pubiic roperty damaged thereby. , <br /> c.�-'� ti— ��� � �� i '� , I �_ �_v ( <br /> FI AL INSPE T ON Date <br /> Approved as Constructed Signat of Applicant Date <br /> NJONY,AUiHORIZED�Y THIS PERI4IT 1�1U5T 6E STARTED 1VITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENILY <br /> PURSI II�U TQ COF1p(f.T10I1, 11IIS PI�_RI41T I4AY R[UNCELLED IlY THE CITY UPON�WY STOPPAGE Of-ANORK ON THIS PRO]ECT OVER 90 DA'�$DURATION. <br />