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PUBLIC WORKS PERMIT Date: O6/09/2008 � <br /> Public Works Permit#: PW0806-013 <br /> City of Everett Pubiic Works Department <br /> �::"����ti''� <br /> 3200 Cedar Street Buildinp Permit#; P0806-008 <br /> Everett, WA 98201 Planninp Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EVERETT SCHOOL DIST <br /> 4730 COLBY AVE <br /> EVERETT WA 98203 <br /> PHONE: 4253854190 PHONE: <br /> TAX PARCEL ID� 28050600302000 S�TE ADDRESS: 616 PECKS DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> GREASE INTERCEPTOR-MADISON ELEM <br /> PERMIT CONDITIONS <br /> 1. All cails for inspection shall be made 24 hours in advance. <br /> 2. AII work shall be pe�formed 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. Per plans dated 05-24-08. <br /> 5. Disposal must be ptumbed to grease interceptor. � <br /> 6. Restoration in street areas to be done per applicable standards ard as instructed hy the Public Works Inspector. � <br /> ■r <br /> YOUR PUBLIC WORKS INSPECTOR IS RANDY ALLEN -425-339-7403. � <br /> � <br /> "'9 <br /> �S �SM � o <br /> JUN 1 2 2008 D rj <br /> � <br /> c'rrv cr i:v��:iii:�r�r a <br /> I'crmil Scrviccs <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless Ihe City of Everett from any and all claims for <br /> damages, cosis.expenses, or causes of aclion that may arise <br /> '� " because of installation and maintenance oi the improvement <br /> �,.` -+ or other right-of-way use hereto applied tor and further agrees <br /> ��� �5�-� c- -y-o;� <br /> A r d (o�Cons �u�n DatO to remove same upon notice from Ihe City and to replace <br /> � , public propeity damaged ihereby. <br /> PP :-�G.��L[.,L� �-- �/— ZS—�rY <br /> �FINAL INS CTION Date ������- �G -�� -aa <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORI2ED BY THIS PERh11T hiUST BE STARTED WITHIN 180 DAYS OF DAIE PERMIT IS ISSUEO AND THEREAFfER IS 70 BE DIUGENTLY <br /> PURSUED TO COMPLEiION. THIS PERh11T P1AY BE CJ+NCELLED BY THE CIN UPON ANY STOPPAGE OF NORK ON TF115 PROJECT OVER 90 DAYS DURATION. <br />