2717 FEDERAL AVE EXXON MOBIL 2018-01-02 MF Import

PUBLIC WORKS PERMIT City of Everett Public Works Department 3200 Cedar Street Everett, WA 98201 (425) 257-8810 Date: 9/1/2011 Public Works Permit #: PW1109-001 Building Permit #; Planning Reference #: Public Works Fee $: $ 390.00 Other $: OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: EXXON MOBIL OIL LEAH R. VIGOREN 1001 11VAMPANOA3 TR 600 UNIVERSITY ST. RIVERSIDE RI 02915 SEATTLE WA 98101 PHONE: 4014147356 PHONE: 2063421760 rAX PARCEL In SITE ADDRESS: 2717 FEDERAL AVE DESCRIPTION OF PROPOSED WORK: REMOVE CONTAMINATED SOIL (9/1/2011 8:55 AM BE' REMOVE LIQUID PETROLEUM HYDROCARBON PRODUCT PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4. See attached for Public Works Conditions 5. Owner #2: GTa American Distributing Company 1-4 13618 45th Ave NE 00 Marysville, WA 98271 Phone # 425-320-1424 O ti z 0 H 0 w 1 11 T1/ p for Con io D e .Z Z FINAL INS CTION Date Approved as Constructed ACKNOWLEDGEMENT OF CONDITIONS The undersigned owner/applicant hereby agrees to hold and save harmless the City of Everett from any and all claims for damages, costs, expenses, or causes of action that may arise because of Installation and maintenance of the improvement or other right-of-way use hereto applied for and further agrees to remove same upon notice from the City and to replace public property damaged thereby. le IV30 /1 S' nature of Applicant U Date WORK AUnrORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED 10 COMPLETION. THIS PERMIT MAYBE CAriCELLED BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PROTECT OVER 90 DAYS DURATION.