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�.=�:� - �4�DB�AC IM�R�fS PERMIT Date: 5/23/2014 <br /> �c'" Public Wor1;s Permit #: PW1405-031 <br /> City of Everett Pu61ic Works Departmenl _ <br /> .��',;�UL� 3200 Cedar Street Buildinq Pennit#; <br /> ti.. Everett, WA 98201 Planninp Reference#: <br /> (425) 257-8810 <br /> Public Works Fee ?: $ �10.00 <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 /> SPOK�NE WA 9920� <br /> PHONE: PHONE: 2068176357 <br /> TAX PARCEL�D# SITE ADDRESS: 36TH AVE W 8 SEAWA� BLVD <br /> DESCRIPTION OF PROPOSED WORK: <br /> TEST PITS FOR SOIL STABILITY <br /> PERMIT CONDITIONS <br /> 1. All calls ror 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 CaA Location Underground Service 48 hrs before you dig. TOLL FREE NUhiBER 811 <br /> 4. Keep city streets clean at all t:�nes. <br /> 5. Th�s permit is hmited to only the minimum disturbance necessary to complete the test pits and archaeological T G' y <br /> sb�dy ss per the approvetl plan and does not au;horize any other clearing or grading on thi; property �--�-- -„ i� � <br /> 6. Provide erosion control as directed Uy the i�ubic Works Inspecotor. ������ T [^� <br /> � '_"' � C/� <br /> Please contact public works in� ieclor Randy Allen at 425-339-7403 to schedule a site visit prio��to begirniig any f"' <br /> work. �� � <br /> LTI ^ � <br /> � � <br /> � i r-� <br /> ��� � <br /> �� c <br /> Q � i <br /> c <br /> v. ec.i� ��L� <br /> r ' r.�r,�o -C� <br /> G`"1G�L+1 r` <br /> . / pQ w) <br /> L>0 p CJ 1--` C <br /> n� r� <br /> ti �r <br /> �4 <br /> ACKNO'✓JLEDGE �tJ7 OF COfJDITI0N3 <br /> The undersi�r,ed ownedapplicant hereby agrees to hold and <br /> � savc harmless the City of Everett from any and all G�ims for <br /> damages, costs,ezpenses,or causes of action that may arise <br /> S �` � becau�o(installalion and mainlenar.ce c(ihe improvement <br /> S or ofher nght-of-way use hereto apolied for and further agrees <br /> to remove sam�upon notice from the City and to replace <br /> Ap roved for Construction D te ublic ro e <br /> p p p rty damagnd'thereby. <br /> d <br /> FINAL INSPECTfON Date �� �%� -�� 2-��'� �' <br /> Approved as Construcied Signa�ure of Applicant Date <br /> WORK AUiHORIZED�Y 7HIS PERPIIT P1UST BE SfARTED WffHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFI'ER IS TO BE DILIGENTLY <br /> PURSl1ED TO COMPLET70N. THIS PERhitT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURAT70N. <br />