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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 11/14/2014 <br />Public Works Permit #: PW 1411-021 <br />Building Permit#; <br />Planning Reference #: <br />Public Works Fee $: $ 120.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />INTEGRAIJOHN NICHOLSON G&L UITILITY, CONTR. INC. <br />1303 120th AVE NE P.O.BOX 3430 <br />BELLEVUE WA 98005 REDMOND WA 9B073 <br />PHONE: 2068123358 PHONE: 3604021900 <br />TAX PARCEL 10 # SITE ADDRESS: 2828 COLBY AVE <br />DESCRIPTION OF PROPOSED WORK: <br />OPEN CUT <br />(11/1412014 10:33 AM BES) <br />OPEN CUT AND INSTALL 1-2" PVC BACK OF 2828 COLBY <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall bm� 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 F- <br />4 Any damage to sidewalk, driveway tec.. should be replaced per City of Everett Standards. <br />5.Traffic control should be per approved drawings 11110/2014. <br />6. There should be at least a minimum of 5'(five feet) seperation between City of Everett utilities and fiber cable <br />7. Contractor must contact City of Everett Inspector o <br />Randy Allen 425-339-7403 prior to starting construction. F <br />r <br />h <br />F� r, <br />808 <br />c� roman <br />, -. E:S <br />nr <br />tM <br />Fit <br />C <br />F--a <br />0 <br />C) <br />PLO <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 damage thereby. <br />Signature of Applicant 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 MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />