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1�2 <br />PUBLIC INORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />is Date: 5/25/2015 <br />Public Works Permit #: PW1505-040 <br />Buildinq Permit #; B1505-057 <br />Planninq Reference #: <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />JOHNSON PROPERTIES I LLC <br />JOHNSON HOMES & PROPERTIES <br />P O BOX 5253 <br />3209 Colby Ste 105 <br />EVERETT WA 98206 <br />EVERETT WA 98201 <br />PHONE: <br />PHONE: 4255084670 <br />TAX PARCEL ID # 28041100100500 <br />SITE ADDRESS: 1525 75TH ST SW <br />DESCRIPTION OF PROPOSED WORK: <br />EXTERIOR EQUIPMENT SLAB -CASCADE COFFEE <br />This Public Works Permit covers the haul across City Streets <br />/ General Site Inspection. <br />Other aspects of the slab were not reviewed with this permit. <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 <br />Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />r Tl r7 <br />4. Any damage to the City Sidewalk or Streets shall be replaced at the direction of the CiU lnspector1 <br />5. Contact the City of Everett Public Works Inspector at 425-339-7269 prior to starl4 c9-q ion:t;r W44-i <br />[�'I <br />c> <br />questions. <br />[y,a <br />=s <br />6. Provide any neccessary erosion control as directed by the Public Works Inspector. <br />Uri C-P <br />7.Keep the City streets clean at all times.6 <br />h <br />"' <br />$25 Minor Permit �. l`_ 4�O n .a, r..., .e-4 <br />c+,X�,Z�o6r..ar-3ra <br />$20 Minor Plan Review = ;yq ;�, � <br />$20 Minor Inspection :' ,a `:' _, `�' <br />1 Ca LTt --7 Ca Ca <br />m':J U I L l <br />i in <br />/ A <br />Ap ov d f Constru Date <br />INAL INS CTION Date <br />Approved as Constructed <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 damaged thereby. <br />1-5 <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 MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />