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PUB�..ICi WOR�� PER 'T Date: <br />Public Works Permit #: <br />City 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 $: <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />SNOHOMISH CO PUD SNOHOMISH CO PUD <br />PO BOX 1107 PO BOX 1107 <br />EVERETT VVq 98206 <br />PHONE: 4252588255 <br />TAX PARCEL ID # <br />DESCRIPTION OF PROPOSED WORK: <br />REMOVE POWER POLES AND TEMP. POWER REROUTE <br />PRELIMINARY WORK FOR NEW COUNTY BUILDING <br />EVERETT WA 98206 <br />PHONE: 4257834498 <br />SITE ADDRESS: 1809 Wall St <br />6/25/2015 <br />PW1506-046 <br />$ 65.00 <br />PERMIT CONDITIONS <br />1. All calis 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. ANY DAMAGE TO THE CITY STREETS AN/OR SIDEWALKS SHALL BE REPAIRED/REPLACES BY THE <br />APPLICANT <br />5. TRAFFIC CONTROL SHALL BE PERFORMED PER THE APPROVED PLAN DATED 6-25-15 AND AS <br />ADJUSTED AS NECESSARY WITH REGARDS TO THE MUTCD. <br />Public Works Fee Breakdown: <br />Plan Review $20.00 <br />Inspection $20.00 <br />Mics minor permit $25 <br />� � <br />� � �� <br />��� <br />l.'�� � / J /`��� � � �� r��C <br />�� �� w�.. ��"t�-� <br />�-' i' l�l/L -G•-. ��CrC��h� <br />Approved for Construction Date <br />� � � � <br />,�UN 3 0 2015 <br />���. e ��, `..�T,,;R�.�rr <br />• �vices <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 />public property damaged thereby. <br />'=�t� (� <br />S� nature 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 />