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PUBLICSORKS PERMIT • Date: 9/18/2015 <br /> Public Works Permit#: PW1509-015 <br /> ^' City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> ••y- Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Pastor Travis Miller Pastor Travis Miller <br /> 2602 Hoyt Ave 2602 Hoyt Ave <br /> EVERETT WA 98201 EVERETT WA 98201 <br /> PHONE: 3145668760 PHONE: 3145668760 <br /> TAX PARCEL ID# SITE ADDRESS: 2602 Hoyt Ave <br /> Install Fence in Right of Way <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. Should the City of Everett ever need to utilize this Right of Way for municipal purposes then.the applicant will-be " <br /> required to remove any appurtenances that would prevent its use. ;_: ,_ ...a v I-•I <br /> 5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting constructiort�nd _ <br /> with all other inspection requests. See attached to request an inspection. IM O <br /> 7, �, <br /> 6 Work to be done per the approved plan dated 9-18-15. (copy attached) <br /> Public Works Fee Breakdown: ®� ' <br /> Plan Review$20.00 <br /> Inspection $20.00 <br /> Misc Minor Permit$25.00 _- ' <br /> r._: ^ <br /> CK, <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 /> Appro df Con tructi Date pub' ro e amaged thereby. <br /> FI AL INSPECTI N Date Y <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 />