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PUBLIC WORKS PERMIT Date: 5/14/2015 <br /> Public Works Permit#: PW1505-020 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#.- <br /> (425) <br /> :(425) 257-8810 <br /> Public Works Fee$: $ 1,285.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BOEING COMPANY Coffman Engineers <br /> PO BOX 3707 MC OH-13 1601 5th Ave Suite 900 <br /> SEATTLE WA 98124 SEATTLE WA 98101 <br /> PHONE: 4258762594 PHONE: 2065210786 <br /> TAX PARCEL ID# SITE ADDRESS: 3003 W Casino Rd <br /> DESCRIPTION OF PROPOSED WORK: <br /> Remove Preload Material from Site <br /> Haul 100,000 cy away from Boeing Site. Permit includes Temporary Erosoin Control. <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 per approved Erosion Control Plan Dated 5/14/2015. (Copy Attached) <br /> w <br /> 5. Haul route to be done according to information submitted and approved by the City Traffic Engineer. <br /> M—I <br /> 6. Contact the City of Everett Public Works Inspector Cliff Lindman at 425-339-7269 prior to starting construction. <br /> h <br /> 3GIi llUlt UI111TI�IIlS ' WIT eUt <br /> HIIIUuti! udip,VIM KIptit ALCUU111It <br /> U� �1 O <br /> EROS1011 CONTROL PLANS-Cl. <br /> 2 D.C�G hl� 002-3=X3311331 <br /> 022-322-401 m <br /> 100040 1435.4 111"'A <br /> GRADITILLEXCAVATE <br /> O <br /> i r , I J <br /> v <br /> 2015 <br /> ACKNOVi(I�F'GEME"'1,01 CONDITIONS <br /> he undersigned ow e fapplicanid-4fkreby agrees to hold and <br /> save harmless the Cff 11 f-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 <br /> ; ✓ �/ ¢_%S or other right-of-way use hereto applied for and further agrees <br /> Approved for Construction Date to remsame upon notice from the City and to replace <br /> pp ov public p operty damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of 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 />