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������ ����� ��� �� <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 4/16/2015 <br />Public Works Permit #: PW1504-035 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Ofiher $: <br />OWNER NAME AND ADDRESS: APPLICAYVT NAME AND ADDRESS: <br />SNOMISH CO. PUD CRAIG SIMPSON <br />P.O.BOX 1107 SAME <br />EVERETT Wq 98206-1107 <br />PHONE: 4257838279 PHON E: 4257838279 <br />TAX PARCEL ID # SITE ADDRESS: 9001 AIRPORT RD <br />DESCRIPTION OF PROPOSED WORK: <br />REPLACING POLE <br />(4/16/2015 8:58 AM BES) <br />REPLACWG A POLE <br />PERMIT CONDITIONS <br />1. Ali calls for inspection shail 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. Traffic control should be per approved drawing 4/15/2015. <br />5. Contact the City inspector Cliff Lindman 425-339-7404 prior to starting construction. <br />for Con <br />FINAL INSPECTION <br />Approved as Constructed <br />ate <br />Date <br />/� <br />� <br />;� �v U �' <br />�,PR 1 7 2015 <br />-_:��,' ;�_- <br />�e�•��:.. -ice:: <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 -� �- �l �� '-�-� <br />'( ' nature of plicant 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 CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />�' ��' <br />