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PUBLIC WORKS PERMIT Date: 3/17/2014 <br /> ;_ Public Works Permit#: PW1403-015 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; B1402-009 <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 2,700.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SURFACE JAMES <br /> 19313 22ND AVE NW <br /> STANWOOD WA 98292 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00556331500800 SITE ADDRESS: 1519 WALNUT ST <br /> DESCRIPTION OF'PROPOSED WORK: <br /> TRAFFIC MITIGATION FEES FOR NEW 4 PLEX <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. TOLL FREE NUMBER 811 <br /> .49 n f;: <br /> ,—'• I 1--`1.._-,. p..,.1_g.-1—'• 1—r• -..,.p....w,.-, 1--` .. f91 i <br /> 1,73 F.., ::F"7-= 2-'1.t lY•7:7:.1�' -l.'u:]^f,:t::1:1-fW,',::,-.,,-'r',co C-:],._ -., <br /> CC'+C:: rf•7 r.._.. <br /> ;F: 5Gy. <br /> r« <br /> f.7 IY r/ <br /> 1,,,,M1IL.r`� <br /> i-..,.n ].. ++: •fit¢9?F.. "r•.:]r•..]�.* ;.r•. S:-71 <br /> ;-1 r•.a r••.;:,„ r••..] <br /> ..G. ,. r 1'.�}•...,i'•..]. a i-- ...]r•W a:�:r f_i'i'.i":•..C•�. .,,y-... <br /> f.z i l,e,a6 F,,, ,r. a �i cm C_.:3•..:i. o r„..:?-C•.r•.0...1 CO: 07.i <br /> i;..:r:1;:.., <br /> t;c4 <br /> i�L • ++ k_.y •, .. ,..,7::•:','Ca...a,. C_•J,:.vl I....,..F•.,lc,a _I__.. .-. r_; <br /> w1 Q: ii <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ..77.- --- f <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 /> Approved for Construction Date to remove same upon notice from the City and to replace <br /> pp public property damaged th-reby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed ignature 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 MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />