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� <br />�- <br />,1� TT <br />PUBLIC �ORKS 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 />CITY OF EVERETT/HEATHER GRIFF <br />3200 CEDAR STREET <br />EVERETT �/�/q <br />PHON E: 4252577206 <br />TAX PARCEL ID # <br />PROJ. #2014-090-21 <br />98201 <br />(9/30/2015 9:27 AM BES) <br />DRILL ONE BORING IN CITY RIGHT-OF-WAY <br />� Date: <br />Pubiic Works Permit #: <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />SANDY RAMOS <br />21312-30th DR S.E. ST#110 <br />BOTHELL WA 98021 <br />PHONE: 4257740106 <br />9/30/2015 <br />PW1509-025 <br />$ 85.00 <br />SITE ADDRESS: 1600 W. MARINE VIEW DR. <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. Any damage to sidewalk, driveway tec.. shoufd be replaced per City of Everett Standards. <br />5.Traffic control should be per approved drawings 09/23/2015. <br />6. There should be at least a minimum of 5'(five feet) seperation between City of Everett utilities and directional , <br />boring. <br />7. Contractor must contact City of Everett Inspector <br />Randy Allen 425-339-7403 prior to starting construction. <br />-Public works fees <br />---Cut/Bore Street/Alley Parallel(LNFT) $45.00 <br />---PW Plan Review(EST) $20.00 <br />---PW Site Inspection(EST) $20.00 <br />� � �/�-� vtJ j � � b � � ( r�-s�� � �'���-� <br />S�q,,� <br />��; .i�r�c;�� l I —��t -� f� <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 />`_-> .��.____..�_._ 1(=: � 4 � I S <br />✓ <br />Signature of Applicant <br />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 />� l� <br />