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PUBLIC WORKS PERMIT <br /> City of Everett Public Works Department Date: 6/2/2015 <br /> Public Works Permit#: PW1506-001 <br /> r W 3200 Cedar Street Building Permit#; <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 /> AMERICAN WEST BANK VERITAS DEVELOPMENT INC <br /> 110 S FRUALL ST RANDY <br /> SPOKANE WA 99202 <br /> PHONE: PHONE: 2068176357 <br /> TAX PARCEL ID# SITE ADDRESS: 5900 36TH AVE W <br /> DESCRIPTION OF PROPOSED WORK: <br /> TEST PITS FOR SOIL STABILITY <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. Keep city streets clean at all times. Cr. <br /> 5. This permit is limited to only the minimum disturbance necessary to complete the test pits and archaeaI.Rgicat? F,31 <br /> study as per the approved plan and does not authorize any other clearing or grading on this propgty., <br /> 6. Provide erosion control as directed by the Pubic Works Inspecotor. r [� <br /> C-Dz r i i-- I� <br /> Please contact public works inspector Randy Allen at 425-339-7403 to schedule a site visit prior to begining an .� <br /> > -34:3, <br /> work. ; O <br /> r,7 <br /> I �a <br /> S F <br /> O <br /> 42, <br /> >,s r.9 r•.7 <br /> y o, <br /> Nn <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 /> A ./z ( damages, costs, expenses, or causes of action that may arise <br /> �� ✓ rw ` (/ �i because of installation and maintenance of the improvement <br /> or other right-of-way use hereto applied for and further agrees <br /> l to re a-.same upon notice from the City and to replace <br /> Aoved for .oast 1, #ion Date public prope y danriged ereby. <br /> X <br /> FINAL INSPECTION Date / <br /> Approved as Constructed Si nature f Applicant Date <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 />