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Date: 8/10/2016 <br /> PUBLIC9ORKS PERMIT <br /> Public Works Permit#: PW1608-023 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> THE BOEING COMPANY DAVE TYLER <br /> PO BOX 3707, MC OH-13 <br /> EVERETT WA <br /> PHONE: PHONE: 4252397983 <br /> TAX PARCEL ID# SITE ADDRESS: 3003 W CASINO RD <br /> INSTALL FUEL BLADDERS AT THE BOEING SITE <br /> INSTALL 10 FUEL BLADDERS FOR TEMPORARY ABOVE GROUND FUEL STORAGE AT FUEL STALL#F2. <br /> BLADDERS WILL BE IN PLACE FOR APPROX 5 MONTHS <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. Secondary spill containment must be provided via existing trenches and oil/water <br /> separator. ( Oil holding capacity 55,700 Gal) <br /> 5. Install temporary perimeter fencing around the bladder/fueling site. <br /> ISI <br /> 6. If bladders are transported with an oversize load consult with the City Traffic <br /> Engineering Department for route approval. <br /> 7. Bladders are only approved to be located as indicated on the attached site plan. <br /> Public Works Permit Fee Breakdown: <br /> Misc. Minor Permits ...............................$25.00 ' <br /> PW Plan Review.......................................$20.00 ygg(;r� t+ 9; <br /> AUG 19 2 i 1 <br /> PW Site Inspection....................................$20.00 � <br /> CITY OF E VERET a' <br /> Pe.rn-iii: Services <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Appr6ved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged t y. <br /> FINAL INSPECTION DateTIL-101 <br /> ' <br /> Approved as Constructed Signature of Applic t f I 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 />