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PUBLIC �ORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />� Date: 6/4/2015 <br />Public Works Permit #: PW1506-007 <br />Buildinq Permit #; C1505-006 <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />RICHARDS SALLY A& ROBERT K <br />2723 RIVERVIEW BLVD <br />EVERETT Wq 98203 <br />PHONE: 4257507931 PHONE: <br />TAX PARCEL ID # 00392000001803 SITE ADDRESS: 7531 LOWER RIDGE RD <br />DESCRIPTION OF PROPOSED WORK: <br />PAVED PARKING AREA <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 r-- <br />_,_; �,�. <br />4. Keep City streets clean at all times. ,. ��' �Iw�� <br />:r� � <br />� ... ;_�_ i �..,..� ; .....�. '�7 ' <br />�.�,. _ <br />�._Y .r. � .. '_i'l —l_� '_.-_ i_l..i ..._.J n <br />...'.i . . . ' <br />. �.: <br />5.Any damage to the public streets or improvements shall be repaired by the applic�;hf-�s�� i�a�� �y;�}��'ubl� <br />Works inspector. � ' '�'-' '" _=� "'" � " <br />-, , ;..-. <br />r=, _ , <br />�=s r"��; <br />6. Work to be done as indicated on drawing approved on 6-4-15. ;�;=� �;=; <br />�-� :� <br />��a;z � <br />7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 pr��`r to starting construction and� <br />with other inspection requests �;5 <br />,,:� ��� <br />'_` �.'� <br />,—� �� �-> <br />�-- �,:F ;_,, �—� �:� _�. _, <br />i:i � f`J r"� +E=t I..�..� ...ii '-ii -��.7 <br />�J }�,'S f.�7'7 :'r... G•. �f_ i P'•::7 �:.._? =r•_ <br />L�b1� v — <br />f'� f"_4_� C> f_T'I� . f., ^�f.J <br />1—+ -� r --�] rs C-o [�_I <.'=�o �L_N ::'-+ <br />�� L�" <br />---i i;" <br />:=I <br />, • Ci_? <br />� <br />�� / J �. � ��Fr_ - /'-'� � _ s"' -/' C <br />h' <br />Approved 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 />� ` <br />C %� S` -� <br />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 COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />e..rsi <br />_.� � <br />