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PUBLIC WORKS PERMIT Date: 3/24/2015 <br /> Public Works Permit#: PW1503-031 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 75.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DENNIS WAGNER JOHN JOHNSON <br /> 2207 EVERETT 2801 139th PL SE <br /> EVERETT WA 98201 MILL CREEK WA <br /> PHONE: 4259715798 PHONE: 4259715798 <br /> TAX PARCEL ID# SITE ADDRESS: 2207 EVERETT AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> EXCAVATION OF SOIL <br /> (3/24/2015 1:16 PM BES) <br /> EXCAVATION OF CONTAMINATED SOIL IN THE RIGHT OF WAY <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. Traffic control shall be per approved plan 03/24/2014. <br /> 5. Install erosion control measures per Ciyt of Everett Standards for small parcels. <br /> 6. Remove erosion control measures upon completion of the project prior to final approval of the permit•�- <br /> 7. No dirt, mud, rocks or debris to be tracked onto roadway. <br /> 8. Excavated contaminated soil shall be hauled to an approved, permited site. y <br /> 8. Contractor must contact the City of Everett Inspector Randy Allen 425-339-7403 prior to starting'constfabtio%5 <br /> r+' r J <br /> .._...t; r.::'1 <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 /> damages, costs, expenses, or causes of action that may arise <br /> because of installation and maintenance of the improvement <br /> 3 /u or other right-of-way use hereto applied for and further agrees <br /> ed for Constr t* ate to remove same upon notice from the City and to replace <br /> P �� I�� public eTarnd thereby. <br /> R + � + r <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant U 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 /> /1( ) <br /> I <br />