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PUBLIC WORKS PERMIT Date: 4/29/2015 <br /> Public Works Permit#: PW1504-059 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; B1504-006 <br /> Everett, WA 98201 - Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 85.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NEW PARK LLC 2112 ARCHITECTURE <br /> PO BOX 2479 <br /> EVERETT WA 98203 <br /> PHONE: PHONE: 4252522153 <br /> TAX PARCEL ID# 00438235101900 SITE ADDRESS: 1718 BROADWAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> PAVING & PARKING RECONFIGURATION FOR SUNRISE SERVICES <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. Work to be done per approved plans dated 04-29-2015. (copy attached) ; <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 pri to,s,far>0g.'cp4ry-gtior, <br /> 6. Keep the city streets clean at all times. ' <br /> M ' <br /> i O <br /> '25^+7 r <br /> -.� LTt+fit •id5r ?'•• <br /> 4n 8 1 <br /> G r r^,LTt — C�Tt-CL...J 1"•..I 7 O <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 /> p because of installation and maintenance of the improvement <br /> or other right-of-way use hereto applied for and further agrees <br /> vvv"'lll to remove same upon notice from the City and to replace <br /> per ved or n tion Date _ public property damaged thereby. <br /> FINAL INSPECTIN 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 /> C �VV <br />