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PUBLIC W�RKS PERMIT
<br />City of Everett Public Works Department
<br />� 3200 Cedar Street
<br />Everett, WA 98201
<br />(425) 257-8810
<br />OWNER NAME AND ADDRESS:
<br />RICHARDS SALLY A& ROBERT K
<br />2723 RIVERVIEW BLVD
<br />EVERETT �/�/q
<br />PHONE: 4257507931
<br />98203
<br />TAX PARCEL ID # 00392000001803
<br />DESCRIPTION OF PROPOSED WORK:
<br />PAVED PARKING AREA
<br />Date: 6/4/2015
<br />Public Works Permit #: PW1506-007
<br />Building Permit #; C1505-006
<br />Planning Reference #:
<br />Public Works Fee $: $ 25.00
<br />Other $:
<br />APPLICANT NAME AND ADDRESS:
<br />PHONE:
<br />SITE ADDRESS: 7531 LOWER RIDGE RD
<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. Keep City streets clean at all times. ;:;
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<br />5.Any damage to the public streets or improvements shall be repaired by the applic�t_as:�in�#ic�ied b�: ��_Public: °
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<br />6. Work to be done as indicated on drawing approved on 6-4-15. ':'�
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<br />7. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prir�t, to starting construction and �-' �
<br />with other inspection requests ����
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<br />Appro f C nstru � n��
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<br />FINAL INSP TION
<br />Approved a Constructed
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<br />Date
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<br />Date
<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 ��erty dama d thereby.
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<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 CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.
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