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PUBLIC WORKS PERMIT Date: 1011312009 <br />Public Works Permit #: PW0910-010 <br />City of Everett Public Works Department <br />3200 Cedar Street Buildinq Permit #; C0910-006 <br />Everett, WA 98201 Planninq Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 45.00 <br />Other $: <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />PORT OF EVERETT <br />PO BOX 538 <br />EVERETT WA 98206 <br />PHONE: 4252593164 PHONE: <br />TAX PARCEL ID # 200209195004 SITE ADDRESS: 2730 FEDERAL AVE <br />DESCRIPTION OF PROPOSED WORK: <br />PLACE MODULAR OFFICE TRAILER <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. POLL FREE NUMBER 811 F-- <br />4. Connect side sewer per City Standard #'s 601, 602, 604. <br />5. The contractor must meet with the Public Works Inspector, Randy Allen at 425-339-7403, to discuss potential' =; <br />drainage routing prior to beginning the project. <br />6 Install erosion control measures as determined by the Public <br />Works inspector, suct psj ilgsnc , str¢w,heles— <br />swales, or erosion blankets ` S; c'Dili <br />Remove control measures upon completion of the project prior to final approva `-of the permit. Z <br />7. erosion <br />8. No dirt, mud, rocks or debris to be tracked onto roadway. <br />O <br />C) a �1.4 <br />l <br />co <br />a: <br />co <br />OLo <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby ;,grees 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 />L� <br />to remova upon.notice from the City and to replace <br />=edor/Co ate <br />k /' <br />public pr y imagdd tt l@r <br />)/1 <br />FINAL INSPF TION Date <br />Approved as Constructed <br />Signature of AplilicaR Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSW AND HEREAFTER 15 TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WO ON THIS PROJECT OVER 90 DAYS D:.RATION. <br />