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PUBLIC WORKS PERMIT Date: 3/12/2015 <br /> Or4:''' <br /> Public Works Permit#: PW1504 022 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 433.44 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FIRST UNITED METHODIST CHU MICHAEL LA FON <br /> 3530 COLBY AVE <br /> EVERETT WA 98201 <br /> PHONE: PHONE: 2063959672 <br /> TAX PARCEL ID# 00451400601100 SITE ADDRESS: 3530 COLBY AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> RE-GRADE & PAVE PARKING LOT-FIRST UNITED METHODIST CHURCH <br /> • <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Work to be done per approved plans dated 04-28-2015 <br /> 5. Any damage to the City Sidewalk shall be replaced at the direction of the City Inspector. H <br /> 6. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to starting construction. <br /> (..r <br /> C <br /> �'J <br /> PAAA K1 1-2&Q0L1 C <br /> H <br /> ,0-w I� 4 25t,g(0 0 <br /> ku <br /> • 0A-) o30-6-9-- <br /> d �L <br /> cc .511t�15 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> S -1 -/s- damages, costs, expenses, or causes of action that may arise <br /> � because of installation and maintenance of the improvement <br /> �`J or other right-of-way use hereto applied for and further agrees <br /> ��'7� to remove same upon notice from the City and to replace <br /> Apps ed fo+ onstr o 74-74 <br /> ate public property damaged thereby. <br /> / , 9.73a—/s--- :--1.5$„„ea 5--, Hs- <br /> FINAL INSP TION 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 COMPLE I ION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGEt� OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> ��J�A 1 - <br />