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PUBLIC 11PORKS PERMIT Date: 5/9/2014 <br /> „„e4VP— City of Everett Public Works Department Public Works Permit#: PW1405-010 <br /> t L� 3200 Cedar Street Building Permit#; B1405-009 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 40.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MUKILTEO SCHOOL DIST 6 <br /> 9401 SHARON DR <br /> EVERETT WA 98204 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 28041300300200 SITE ADDRESS: 9600 HOLLY DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> PW FOR 2 MODULAR CLASSROOMS-CHALLENTER ELEMENTARY SCHOOL <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. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. The contractor must meet with the Public Works Inspector to discuss a storm water system prior to beginning the <br /> project. <br /> 5. Install erosion control measures as determined by the Public Works inspector, such as silt fence, straw bales, W4 <br /> swales, or erosion blankets. <br /> 6. No dirt, mud, rocks or debris to be tracked onto roadway. CA <br /> 7. No building materials to be stacked on sidewalk/roadway and sidewalk/roadway to be kept clean and open for <br /> pedestrian travel. O <br /> Your Public Works Inspector is Randy Allen. Call 425-339-7403 for any questions and/or inspections. <br /> 4-,„t <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> ,�Z / or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Construction Date public prop rty damaged thereby. <br /> FINAL INSPECTION Date '44. 49 � 3/L/ <br /> Approved as Constructed pp <br /> Signature of Applicant Date <br /> 9 <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />