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PUBLIC WORKS PERMIT Date: 9/9/2013 <br /> Public Works Permit#: PW1309-006 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; VVV <br /> Everett, WA 98201 Planning Reference#: lA,. <br /> (425) 257-8810 <br /> Public Works Fee$: $ 0.00 <br /> Other$: td ,.k <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SKOTDAL REAL ESTATE ART SKOTDAL <br /> SKOTDAL REAL ESTATE <br /> PHONE: PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: SW CORNER CALIFORNIA& HOYT <br /> DESCRIPTION OF PROPOSED WORK: n <br /> RIGHT OF WAY USE PERMIT <br /> INSTALLATION AND MAINTENANCE OF SCULPTURE ART <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. Sculpture to be owned and maintained by applicant. <br /> 5. Sculpture base plate to be mounted on a 6" minimum height concrete pedestal. See attached drawing for location W <br /> restrictions. <br /> 6. Call for inspection after forming the concrete pedestal (for location and clearance confirmation). <br /> 7. No adverstising is permitted. <br /> _Your public works inpsector is Randy Allen. Please call (425)257-7268 for any inspections or questions. O <br /> E-+ <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 /> Appi-6)i0nor Constru n Date public property damaged thereby. <br /> FINAL INSPE ION 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 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 /> �' <br />