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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 09/19/2011 <br />Public Works Permit #: PW1109-028 <br />Buildinq Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />OGDEN BURTON SAME <br />3802 GRAND AVE <br />EVERETT WA 98201 <br />PHONE: 4253509261 PHONE: <br />TAX PARCEL ID # 29053000303000 SITE ADDRESS: 3903 FEDERAL AVE <br />DESCRIPTION OF PROPOSED WORK: <br />FENCE IN THE R-O-W (APPROX 15') <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. This permit includes only that work being done in the Public Right of Way on Federal Ave. <br />5. Be careful that the fence does not block the water shut-off. The City of Everett Water Dept needs to be able to <br />access the water shut off without any interference from a fence. ' <br />6. The fence can be a maximum of 42" (42 inches) in height. <br />_ ; <br />- . _ ;:... <br />A..., <br />,.:• <br />;�y� <br />� ��:-�� � a�- i/ <br />Ap oved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <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 />� �� r _. �: v S� �( � .� ;`� �� <br />a�---7— <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER 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 />