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, <br />r��i�-/��,�' <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 1 /29/2013 <br />Public Works Permit #: PW1301-019 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />TRIGGS ROBERT BUCKLEY ROBERT <br />14206 SILVER FIRS DR 710 OLYMPIC BLVD <br />EVERETT �/�/q gg2pg EVERETT Wq 98203 <br />PHONE: PHONE: 2065101552 <br />TAX PARCEL ID # 00606400000600 SITE ADDRESS: 705 OLYMPIC BLVD <br />DESCRIPTION OF PROPOSED WORK: <br />ATTACH UNDERGROUND GUTTER DRAIN <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. PVC pipe SDR35 4" minimum in Public Right of Way. <br />Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections <br />�� � <br />/ �--�-� _ %� � <br />Approved for Co ruc ion Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />°;°.�' ; <br />� <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 e up n n e from the City and to replace <br />public ope d ed the by. <br />/' l�(�`� <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 />