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PUBLIC WORKS PERMIT <br />City of Everett Public Works Qepartment <br />3200 Cedar Street <br />-'L - Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />NEW PARK I..LC <br />PO BOX 2479 <br />Date: <br />Public Works Permit #: <br />Building Permit #; <br />Planninq Reference #: <br />Public Works Fes $: <br />Other $; <br />APPLICANT NAME AND ADQRESS; <br />2112 ARCHITECTURE <br />EVERETT WA 98203 <br />PHONE: 4252522153 <br />PHONE: <br />TAX PARCEL ID # 00438235101900 SITE ADDRESS: 1718 BROAQWAY <br />pESCRIPTION OF PROPOSED WORK: <br />PAVING & PARKING RECONFIGURATION FOR SUNRISE SERVICES <br />4/29/2015 <br />PW1504-059 <br />Q 1504-006 <br />$ 85,00 <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 />-,_, �'� <br />4. Work to be done per approved plans dated 04-29-2015. (copy attached) _� r �_ �; � <br />,_.� <br />5. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 priQ� to,��i,f}�,�:I?�:t��Gtio �{ � <br />�.�s.� � <br />� � � o—' ' <br />�:.] ' " f.J <br />6. Keep the city streets clean at all times, "` �'' �; <br />�; <br />:� <br />` ��J �,'-Z�,!af. � �� / `S. <br />Appr ved for Construction Date <br />�� k P��' �-3�-�� <br />FINAL INSPECTION Qate <br />A roved as Constructed <br />�.�;a <br />�� <br />�,�, <br />� u .�E <br />--�.'_�, � �'�;, '-,"' <br />§ `�j f� +fir n •. �v,I:� �+ <br />t.:J �g� .�'. 1.: 7 e�� ��G d��, <br />> u ��>. L.•1 P•.;) <br />(.� G..T'I � � G?'f <br />,.....a I�� �.i:: e_a r,=� f e! 1`'..) t'�s} <br />c� �'� <br />—1 L_�d <br />.C• <br />-�;7 <br />��+. C� <br />ACKNOWLEDGEMENT OF GONDITIONS <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 />�� _ �-����r�- <br />ignature of Applicant Date <br />Pp <br />WORK AUTHORIZED �ONISTHIS PERM T MAY BE CAN D LL.ED Y TH� CITI'�UPON ANY�S O�PPAGE OF WORK ON THIS PROJ�CT OVER 90� DAYS QURATIO <br />PURSUED TO COM <br />;; <br />1 <br />