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� <br />�TT <br />� <br />PUBLIC WORKS PEiZMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />� <br />Date: 12/28/2012 <br />Public Works Permit #: PW1212-012 <br />Building Permit #; BW1212-003 <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />CHU MARVIN <br />2132 ROCKEFELLER AVE <br />EVERETT Wq 98201 <br />PHONE: 6047731732 PHONE: <br />TAX PARCEL ID # 00439143601700 SITE ADDRESS: 2132 ROCKEFELLER AVE <br />DESCRIPTION OF PROPOSED WORK: <br />SIDEWALK <br />INSTALL 7 2" PIN PILES WITH REBAR AND CONCRETE UNDER FOUNDATION SE CORNER TO STABILIZE <br />FOU N DTION. <br />NCB #99-025 <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. Replace sidewalk if damaged. <br />Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections "�' <br />=_; <br />'� <br />, .; <br />,;. : �. ,..,..:. <br />ii;F . ..�.i:.�. <br />, � � ;. �....,� i" :o ;- <br />� ; <br />,_.. <br />_.�� _ <br />.. ,:..-,i �:-�. � i-...�. ,... ,.: <br />r... ma�5 _i�:. �_ . .,,C; ! <br />�'-� i�i'' ur� �- �.�i t , <br />t]-•. _..:'� 1-- f:��� i.:.l � _ <br />w <br />'_.� � <br />�--� I--I <br />;_::-:' � <br />r.;:; <br />_ h+'q <br />O <br />� <br />� <br />O <br />vl <br />O <br />� <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 instailation and maintenance of the improvement <br />�`"� or other right-of-way use hereto applied for and further agrees <br />�����' -�� �� �� Z` to remove s�me upon notice from the City and to replace <br />Approved for C nstruCtion DBte public property damaged thereby./ '� <br />� , i <br />% /✓ -. <br />FINAL INSPECTION 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 THEREAFPER 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 />