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PUBLIC WORKS PERMIT Date: 10/2/2014 <br /> Public Works Permit#: PW1410-002 <br /> City of Everett Public Works Department <br /> E`ETT 3200 Cedar Street Building Permit#; <br /> 4 s Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 918.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> RINKER MATERIALS CEMEX CONST MTRLS PACIFIC LLC <br /> 1501 BELVEDERE RD 6300 GLENWOOD AVE <br /> WEST PALM FL 33406 EVERETT WA 98203 <br /> BEACH PHONE: PHONE: 4253086305 <br /> TAX PARCEL ID# 28040100300101 SITE ADDRESS: 6300 GLENWOOD AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> PAVE ASSOCIATED BLVD <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 /> 4. Per plan ; ; ina,1;:;_ <br /> —, c,:-a <br /> r <br /> E"l <br /> • <br /> e'l' r•;)' JJ <br /> .•�: <br /> C} <br /> J0 r a , ut <br /> _, i;xi /•4 <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 /> L-V< 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 thereby. <br /> (3 _______., <br /> v"'' / ( /6 //LE <br /> FINAL INSPECTION Date <br /> Approved as Constructed 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 DI GENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER DAYS DURATION. <br /> C <br />