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� <br />� <br />PUBLIC ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />� Date: 8/20/2015 <br />Public Works Permit #: PW1508-024 <br />Building Permit #; M1508-047 <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <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. Do not block the sidewalk when working on this project. <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting,cons,tructic3�' and <br />with other inspection reauests. w <br />Misc Minor Permit/or plan reviews <br />d for Constru�tion <br />FINAL INSPECTION <br />Approved as Constructed <br />$25.00 <br />� <br />� _C�.� <br />D te <br />Date <br />�yl <br />;G <br />.,_�;� wMx �—. ,_�� .�:,_. <br />,; rt g +r':� r,.r1 +�?r r_.It ..r.r:. <br />'....i I"�. t r._.o (_rl !"� J�- <br />— �"°; f_.:" i�_3 �.�n t:'J:: f T' <br />: �,��` ' '._ _F, o <br />. �.'� +ml c,:_a _... .._� �M _� <br />4. �7 I.. � � �.� <br />--a �:.: ; �: ::: <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 />G�� Is <br />, ,�� � <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 PON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAYS DURATION. <br />� <br />��� fi� <br />