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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />0;:7r 3200 Cedar Street <br />Everett, WA 98201 <br />)425) 257-8810 <br />Dale g,:9/2003 /I <br />Public Works Pomel N P90305-018 <br />Building Permit N <br />Planning Reference N <br />Public Works Fee S $25.00 <br />Guarantee £ <br />OWNER NAME <br />AND ADDRESS <br />Derrick Morgan <br />APPLICANT NAME <br />AND ADDRESS. <br />Ste�Ien Environmental <br />4121 Rucker Ave <br />PO Sox 3244 <br />nrERETT MA <br />98203 <br />LACEY VA 98509 <br />PHONE <br />PHONE <br />3204389521 <br />TAX PARCEL I.D.0 <br />PROJECT ADDRE SS <br />4121 Rucker Ave <br />DESCRIPTION OF <br />Excavate to L'emove <br />contaminated 31311 <br />PROPOSED WORK: <br />6W-O ( C.11 deeJ <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance -phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construeion <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-SM424-5555 <br />4. Seep city street, and alleys clean at all times during construction. <br />5. Provide erosion control as directed by the Public Works inspector. <br />6. All material removed from the site shall be hauled to a mile approved to receive <br />the type of material being removed. <br />7. Maintain positive drainage to storm system when replacing the pavesent. <br />q 3 <br />ApprWedf IXISt�, DdIP <br />FINAL INSPECTION <br />Approved as Constructed Dale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />T <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 or <br />other righl-of-way use hereto applied for and further agrees to <br />remove same up Lice from the City and to replace public <br />Pmagbdeby. <br />-- qy <br />7sr.gn,eArpl¢am Da <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION <br />