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PUBLIC � _ 1'RKS PERMIT Date: 10/29/2010 <br /> Public Works Permit#: PW1010-025 <br /> City of Everett Public Works Department <br /> �. �-� 3200 Cedar Street 8uildinp Permit#; 61010-003 <br /> Everett, V✓A 98201 planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee 5: `� 45.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FAST GARY 8 MARGARET <br /> 3109 TULALIP AVE <br /> EVERETT y�q 98201 <br /> PHONE: 4257720456 PHONE: <br /> TAX PARCEL ID# SITE AGDRESS: 2212 BROADWAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> RESTRIPE PARKING LOT <br /> P[RMIT CONDITIONS <br /> 1. All calis for inspection s�iall be made 24 hours in advance. <br /> 2. All work shall be periormed 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 817 <br /> 4. Keep city street clean at all times <br /> 5. This permit coveis restriping of the parking area as shown on the site plan received by Permit Services on ;;; G 1�.� <br /> 10J27I10. '- ' " :� b �„� <br /> 6. Maintain existing drainage flows as much as practicaL �-�—�_, ::=���;-� _ � <br /> 7. Contact inspector Randy Allen at 425-339•7403 with any questions and to�nspect the finist�d p�ect.�-"'�_; � <br /> �,, <br /> _ � <br /> � <br /> ��;� <br /> `�� <br /> '�� ;;� <br /> �<< <br /> r �(.� <br /> � ? . � <br /> s �. � <br /> i � ..t �i r <br /> .-;C?1-- ' '",_�; c :� <br /> �r. <br /> —�',�:_ i <br /> ACKNOWL[UGEMENi'OF(;ONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hoW and <br /> save harmless the City ot Everett from any and all clair�is for <br /> damages, cosis,expenses,or causes ot action that may arise <br /> because of ins�allation and maintenance of ihe improvemenl <br /> < ,����� ��"3�� or other right-of-way use hereto applied tor and further agrees <br /> A rov oG ons ructio i Date to remove same upon nolice from the City a�d to repiace <br /> pp � � �7 public property damaged hereby. <br /> � l, ',�� �—L I ��� .� � <br /> _� � '1./— <br /> FINAL INSPECTI Date � � �hf'.`� LL/ / —`�"`2' <br /> � <br /> Approved as Constructed Signatur�of Appiicanl Date <br /> WORK AUTIIORIZED BY TNIS PERMIT MUST BE STARTED WITNIN I80 DAYS 0�DATE PERMR]S iSSUED AND TNEREAFfER IS TO BE DILIGEIJTLY <br /> PURSUEU TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE Ch i UPON ANY STOPPAGE OF l'JORK ON TH15 PROIECf OVER 90 DAYS DURATIOR. <br /> r <br />