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PUBLIC WORKS PERMIT Date: 4I13I2010 <br />� Public Works Permit #: PW1004-016 <br />City of Everetl Public Works Cepariment <br />�s}'�� � <br />3200 Cedar Street Buildinp Permit #; <br />Everett, wA 9820t Planninp RefErence #: <br />(425)?57•8810 <br />Public Works Fee S: $ 677.00 <br />Other $: <br />OWNER NAME AND ADDRESS: I APPL�CANT NAME AND ADDRESS: <br />MAP #2 LLC <br />805 80TH ST S W <br />EVERETT WA <br />PHONE: 4253372700 <br />98203 <br />AX PARCELID# 29050&00100600 <br />DESCRIPTION OF PROPOSED WORK: <br />GRADING FOR FORMER DREDGE SOILS DISPOSAL AREA <br />PACIFIC TOP SOILS INC <br />805 80TH ST SW <br />EVERETT WA 98203 <br />PHONE: 4253372700 <br />SlTE ADDRESS: 27TH PL NE / 32ND AVE NE <br />CLOSEST EXISTING ADDRESS IS 3000 SMITH ISLAND RD <br />(�ss;Sne� a�'��ess �s 3a7o,�' SR Sz r-re� leT{e..J <br />PERMIT CONDITIONS <br />1. All calis (or inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permil and current Ciry of Everett Design and Construclion Slandards <br />and Specifications. <br />3 Call Localion Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 � <br />4 Work to be done as indicated in the Stormwater Pollution Prevention Plan submitted to Sn ohomish County by� <br />Pacifc Topsoils, Inc dated January 28, 2010 (Golder Associates) � � <br />5. Work to be done per plan co-approved by the C�ry ot Everett on 515/10 (copy attached '""J �'z" <br />6 Invlte the Ciry o( Everett Publ�c Works inspector to lhe projecl pre•construction meeling Conta�t;f�aqGy�illen-at � <br />425-339-7403 � � � � <br />7. C�ty Streets are to be kept clean at all times '� � x i' <br />8 Provide dust conirol as required by the City Public Works Inspector �� -�, <br />_ �, <br />����o� s�.sJ %� <br />Approved tor Conslructi •n D t� <br />FINAL INSPEC710N Uale <br />Approved as Constructed <br />.- <br />� <br />�h <br />ti <br />�� � iA N <br />I' � 2. <br />N ' c+ a <br />-]OG�] <br />�•Okt <br />� <br />� <br />i..i <br />� <br />� <br />h <br />z <br />0 <br />r�^ <br />Vl <br />O <br />a <br />ACKNOWL[DGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless 1he City o1 Evcrett from any and all claims br <br />damages, costs, expenses, or causes of acuon that may anse <br />bewuse ol installalion and maiNenance oi the improvemenl <br />or olher ngh4of-way use herelo applied for and furiher agrees <br />m remove same upon nolice from ihe Gty and to replace <br />public pro erty damaged thereby. <br />� ��� • �� <br />Signature ol Applicant <br />Dale <br />WORK AUTNORIZED BY THIS PERMIT MUSf BE STARTED \4(THIN I80 DAYS OF DATE PERPtfi IS ISSUED AYD THERFAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. TT115 PERMIT MAY BE CANCELLED BY THE CffY UPON ANY S70PPAGE OF WORK ON THI$ PROJECf OVER 90 DAYS �URATtON. <br />