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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 />OWNER NAME AND ADDRESS: <br />BERGSAGEL CONSTRUCTION <br />11122 27TH DR SE <br />EVERETT WA 98208 <br />PHONE: 4257727532 <br />Date: 7/22/2008 <br />Public Works Permit #: PWO807-020 <br />Buildinq Permit #; <br />Planninq Reference #: <br />Public Works Fee $: $ 50.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />OWNER <br />PHONE: <br />ITAX PARCEL ID # 29053000303000 I SITE ADDRESS: 3903 FEDERAL AVE I <br />DESCRIPTION OF PROPOSED WORK: <br />INSTALL 6" SEWER LINE FROM MAN HOLE IN ANGLE <br />LANE TO LOT 1 & 2 AT 3903 FEDERAL AVE <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. Side sewers to be installed per city standards 602, 604, 601 <br />5. <br />Bedding for the trench to be done per City Standard #611. Restoration to be done per Standard #610 and #316 <br />6. <br />Install clean out every 100 feet, <br />w <br />7. <br />Restore buffer area to original condition after construction of houses is complete <br />8. <br />,-- <br />Meet with Public Works Inspector on site to determine the extent of concrete panel replacement needed. <br />= <br />e <br />FOR PUBLIC WORKS INSPECTIONS CALL RANDY ALLEN AT 425-339-4403 <br />C-1 <br />c <br />m <br />� rv• <br />Z <br />i <br />O <br />C. <br />Cr <br />LTI <br />c <br />. <br />F> onen <br />:8 <br />.— <br />j" <br />C >/� ��- ao, o � 71008 <br />Appr ed for Construction Da <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 />0 <br />'4t��j- -Z <br />b� <br />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 />