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PUBLIC WORKS PERMIT Oate: 1211412C09 <br /> ,�. Pubiic Works Permit#: PW0912-J17 <br /> City of Everett Public Works Department guildinq Permit#: B0912-008 <br /> ,� � 3200 Cedar Street � <br /> � ����� Everett, WA 982ot Planning Reference iF: <br /> �►� (425)257-8810 <br /> Public Works Fee S: � 45.00 <br /> Other $: <br /> OWNER NAME AND AUDRESS: APPLICANT NAME ANQ ADDRESS: <br /> SKOTDAL PRIME PROPERTIES 11 L <br /> PO BOX 5267 <br /> 1=VERETT WA 98206 <br /> PHONE: <br /> PHONE: <br /> TAx PARCEL ID u 00645171801200 SITE ADDRESS: 1503 PACIFIC AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> TI �COMM HEALTHCARE CREDIT UNION <br /> PERMIT CONDITIONS <br /> 1. PII calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with?he perm�t and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Csll Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Install erosion control measures as determined by the Public Works inspector (call Randy Allen a1425-339-74,03) � -,� <br /> such as silt fence, straw bales, swales, or erosion blankets. " � • E,,, <br /> 5. Remove erosion control measures upon completion o(the projecl prior to final approval of the dE1'miY.' '-' -- , � <br /> if�l�J� <br /> G. No dirt, mud, rocks or debris to be tracked onto roadway. z7�—� �,�� �; VJ <br /> r. o . :�, � <br /> All work to be done per approved plans dated 2/4/10 � r j „ ,O <br /> Ey O ^; ��� <br /> f.] � ',Z <br /> r, _.� <br /> � �, ~� <br /> IJ � <br /> .. � y� r_-� � ,^ <br /> F'Ir-�-'�M!a . O <br /> �-,W�`_ O�^`.1 _ <br /> :.,_,. - : a <br /> _ ,_, <br /> ACKNUWLEDGf_ML=NT OF CONDITIONS <br /> The cndersigned ownedapplicanl I:ereby agrees to hold and <br /> savc harmless ihe City o(Everett trom any and all claims for <br /> -- damages, costs,expenses, or causes of actwn that may anse <br /> /� because of installation and msntenance o(the improvement <br /> _ � �� /�/T ^' �j� � �/ �v or other righl-of-way use heretr applied lor and further ayrees <br /> ,�� J� �'�� 7 to remove saT� upon notice fa•n the City: � 710 replace <br /> Appr�r Cocstr Flion Date public properWdamaged thereby. <br /> � / <br /> ��' � 2- / C.� �jj/`l� <br /> (.�_-'� � � 1_ _ <br /> INAL INSP� ,TION Date <br /> Approved as Conatructed Signature of Applicant Date <br /> WORK AUTHORIZED 81'TNIS PERMIT MUST BE STARTED WITHIN 160 DAYS Of-DAT[PERhi1T IS iSSUED AND TIIENEAITER iS TO BE DILIG[NTLY <br /> PURSUED TO COMPLEl70N. TH15 PERMIT t4AY BE CANCELLED BY TNE CRY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DUMTION. <br />