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�E E!I TT <br />PUBLIC Y )RKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />2, 0 <br />/ <br />Date: 1/4/2011 <br />Public ..orks Permit#: PW1101-001 <br />Buildinq Permit #; <br />Planning Reference#: <br />Public Works Fee $: $ 0.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CITY OF EVERETT CRANE PAUL <br />3200 CEDAR ST <br />EVERETf WA 98201 <br />PHONE: 4252578000 PHONE: 4252578949 <br />rar PARce� ID # 29052100300800 SITE ADDRESS: 4015 RAILWAY AVE <br />DESCRIPTION OF PROPOSED WORK: <br />IMPORT DREDGE MATERIAL ON CITY SITE <br />-A PORTION OF WORK COVEREO IN SEPA09-041. < 1 ACRE AREA <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. Cail Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 871 �- <br />-Keep City streets clean at all times <br />-Provide silt fence around river side of earthwork placement. Provide additional erosion control measures as <br />needed. <br />-Area for this work (under one acre) must be designated in the field. <br />/itl� •� � 'W'12� �-� �� <br />Appro or onst � Date <br />�-��__��� �_/�-i � <br />FINAL INS CTION Date <br />Approved as Constructed <br />�� <br />v <br />o�. <br />� o�� �� � <br />P� ���5 <br />��>��� <br />, <br />ACK WLEp(�ENIOFCONDITIONS <br />The undersigne o�lY�ant hereby agrees to hold and <br />save harmless thetOlry� verett from any and all ctaims for <br />damages, costs, expenses, or causes of action that may arise <br />because ot inslailation and maintenance of the improvement <br />or other right-of-way use hereto applied far and further agrees <br />to remave same upo���jjj notice from he City and to replace <br />public p�y da�ged ihereliy.� ; <br />�, ,�� <br />W <br />N <br />� <br />� <br />� <br />h <br />z <br />0 <br />H <br />° <br />Signature oF <br />Date <br />WORK AUiHOR[2ED BY THIS PERMR MUST BE S7ARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED At58�EREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLEl10N. THIS PERMTf MAY BE CANCELLED BY THE CIfY UPON ANY STOPPAGE OF WORK ON THIS PRO)ECT OVER 90 DAYS DURATiON. <br />