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PUBLIC WORKS PERMIT Date: 4/13/2010 <br />tir Public Works Permit #: PW1004-016 <br />City of Everett Public Works Department <br />3200 Cedar Street Building Permit #; <br />Everett, WA 98201 Planning Reference #: A SE <br />(425) 257-8810 <br />Public Works Fee $: $ 677.00 <br />j ► A f- a�a5- 2) J l4Je d r- Svr( Other $: <br />OWNER NAME AND ADDRESS: I APPLICANT AME AND ADDRESS: <br />MAP #2 LLC PACIFIC TOP SOILS INC <br />805 80TH ST S W 805 80TH ST SW <br />EVERETT WA 98203 EVERETT WA 98203 <br />PHONE: 4253372700 PHONE: 4253372700 <br />TAX PARCEL ID # 29050800100600 SITE ADDRESS: 27TH PL NE / 32ND AVE NE <br />DESCRIPTION OF PROPOSED WORK: <br />GRADING FOR FORMER DREDGE SOILS DISPOSAL AREA <br />CLOSEST EXISTING ADDRESS IS 3000 SMITH ISLAND RD Ndt <br />! r1 A L �Ivc;u SWLrJ to �t i oar /YCY[ !`. )), r L Olho Ad fh /i <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. Work to be done as indicated in the Stormwater Pollution Prevention Plan submitted to Snohomish County by, <br />Pacific Topsoils, Inc. dated January 28, 2010 (Golder Associates) <br />5. Work to be done per plan co -approved by the City of Everett on 5/5/10 (copy attached <br />~ <br />6. Invite the City of Everett Public Works inspector to the project pre -construction meeting. <br />Contact,;Randy;AIlenat� <br />425-339-7403 <br />n n <br />7. City Streets are to be kept clean at all times <br />�3 <br />0 <br />8. Provide dust control as required by the City Public Works Inspectors <br />r <br />,O <br />•y <br />1 <br />�a oN <br />c. ca <br />Apo or nstnr . n ">.7 D to <br />S—y3•-jz <br />FINAL INSPP ION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and ell claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />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 />public property damaged thereby. <br />Signature of Applicant <br />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 />