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PUIBLIC WORKS PERMIT Date: 5/20/2015 <br />� Public Works Permit #: PW1505-034 <br />� �ity of Everett Public Works Department <br />� 3200 Cedar Street Building Permit #; <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 65.00 <br />Other $: <br />OWNER NAME AND ADDFZESS: <br />Hyung Lee <br />2802 Hewitt Ave <br />EVERETT WA 98201 <br />PHONE: 206334662t3 <br />TAX PARCEL ID # <br />APPLICANT NAME AND ADDRESS: <br />Hyung Lee <br />2802 Hewitt Ave <br />EVERETT Wq 98201 <br />PHONE: 2063346628 <br />SITE ADDRESS: 2802 Hewitt ave <br />DESCRIPTION OF PROPCiSED WORK: <br />Piping and Demolition for Gas station <br />Demo Diesel Island / Break up concrete to connect unleaded syphon system / Install new product line for Diesel <br />PERMIT CONDITIONS <br />1. All calls for inspection sl�all 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. Keep City streets clean at all times. ,_._� ,_.�. ,__..,. <br />1 ""j -�"� T <br />5. Any damage to the City sidewalk must be replaced as directed by the City Public works in_ :�ct�.��- �== <br />� .. - ITl t—i . <br />f_�;J ::�'7 ti'_- �� :1 <br />: . �.-i.a .�" <br />6. Review work to be done �vith the City Fire Marshalls office. (Jim Venturo 425-754-4551) <br />$20 Minor Plan Review <br />$20 Minor Inspections <br />$25 Misc <br />FINAL INSPCCTION <br />Approved as Constructed <br />� `_ � �`�' ._s/� <br />Date <br />�� -��-l�' <br />Date <br />,� <br />a_f� 0 � #�t £�F.f a3:F <br />,�,-•. r..� r•.� r�.� <br />r r; ,r4 � r7 r.-� c <br />��� <br />�',� � �`a �=-' 4=. <br />�_; i�; ; �.;�; <br />`::a-; �ty' ��,—, <br />�-�-i 'idwi � <br />__.� � <br />i_i � <br />i�� T/1 <br />;r <br />'ti� V1 <br />�� i <br />4� � <br />Y .� -::r, � r �� <br />+,.. r'n r.�i <br />L:, :� � O <br />i r.� <br />�.�a �.....:� <br />i �r._, <br />i =� � <br />�T, <br />�' O <br />� <br />r--i <br />_. � <br />r—� �"'��� V1 <br />_":> r._.Ti -G>� O <br />..._.d f�.�1 C+J <br />�.r <br />: �a <br />� _, _c>.. /1 , <br />�..ry <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 mair�;enan�� 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 />�..,� �- �c_ ``i ._-�._. Qs/t �/z c, , _ <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERNIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS I'ERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� �i��i <br />