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PUBLIC .�ORKS PERMIT Date: 6/13/2014 <br /> Public Works Permit #: PW1406-016 <br /> City ot Everett Public Works Depariment guildin Permit#; 81405-045 <br /> 3200 Cedar Street 9 <br /> Everett, WA 982ot Pianning Reference#: <br /> (425)257-8810 <br /> Public Works Fee S: $ 285 00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BOEING COMPANY <br /> PO BOX 3707 MS 1 F 09 <br /> SEATTLE WA 98124 <br /> PHONE: PHONE: <br /> TAX PARCEL ID If 28041000100200 SITE ADDRE55: 3003 W CASINO RD#40-421 <br /> DESCRIPTION OF PRUPOSED WORK: <br /> SITE WORK 8 SEWER CONNECTION FOR MODULAR BUILqING <br /> TO TEMPORARILY HOUSE MEDICAL 8 OCC <br /> PERMIT CONDITIONS <br /> L �II calls for mspection 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 Locat�on Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. As per plan dated 619114 and the public works inspector's direction in ihe field. <br /> Randy Allen is your Public Works inspector. Please call him at 425-339-7403 to sched�tle inspeclions. F <br /> � <br /> � <br /> � <br /> h <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees lo hold and <br /> save harmtess the City oi Everetl lrom any and all claims fot <br /> damages,cosls,expenses,or causes ol action Ihat may arise <br /> � � � because of installation end maintenance of the improvemenl <br /> or olher righl-ol-way use hereto apptied lor and furiher agrees <br /> A roved(or Conslructi0n D te to remove same upon notice from the Cily and to reptace <br /> PP public property damaged thereby. <br /> INS TION Date �� � ���9��I� <br /> ApprovedasConstructed 7'?-fi'-/ SignawreotApplicant Date <br /> WORK AUTHORIZED BY TH(S PERMR MUS7 BE SfARTED WRHIN 1B0 DAYS OF DNTE PERMR IS ISSUED AND 1NEREAFfER IS TO BE DILIGENTLY <br /> PU0.5UE0 TO COMPlEf10N. THIS PERMR MAY 6E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HI5 PRO]ECT OVER 90 DAYS DURATION. <br /> �/L L� <br />