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PUBLIC WORKS PERMIT Date: 6/7/2010 <br />City of Everett Public Works Department Public Works Permit #: PW1006-010 <br />3200 Cedar Street Building Permit #; <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 45.00 <br />Othpr 1- <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CITY OF EVERETT I AMEC E & E <br />3200 CEDAR ST 600 UNIVERSITY ST #1020 <br />EVERETT WA 98201 SEATTLE WA 98101 <br />3S I — 9¢4Q <br />PHONE: PHONE: 2063421760 1E.9// 4-6 9-5e4470 <br />TAX PARCEL ID # SITE ADDRESS: FEDERAL AVE <br />DESCRIPTION OF PROPOSED WORK: <br />SOIL BORING IN RIGHT-OF-WAY <br />ALONG KIMBERLY-CLARK PARKING LOT AND BETWEEN EXON MOBILE/ADC AND BNRR <br />4 <br />nrn• ur .+ �- <br />�-v,�J„IVIYJ <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 />Restore area to like or better condition. <br />Keep City streets cleen at all times. <br />6 -7/0 <br />Appr a for Constru Date <br />O <br />ram, <br />8 <br />M <br />i <br />0 <br />GVOGC> <br />L <br />L1C196 <br />rc• <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 />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 A icant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AI ID 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 />