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PUBLIC WORKS PERMIT Date: 9/26I2012 <br /> s Public Works Permit#: PW1209-019 <br /> City of Everett Public Works Department <br /> .�,��� 3200 Cedar Street Buildinp Permit#; <br /> Evere!:, wA 98201 Planning Reference#: <br /> (�25) 257-8810 <br /> Public Works Fee $: 5 45.00 <br /> �,I w� k� Zt�3! �m�.�d wa oine� s: <br /> UWNER NAMF AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CI7Y OF EVERETT MESTON JAN <br /> 2930 WETMORE CITY OF EVERETT <br /> MARYSVILLE y�q 98271 <br /> PHONE: PHONE: 4252577164 <br /> TAX PARCEL ID# SITE ADDRESS: 1900 E GRAND AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> RIVERSIDE IMPROVEMENT PROJECT <br /> RELANDSCAPE RIVERSIDE NEIGHBORHOOD PLANTING BED ON NE CORNER OF BROADWAY 8 EVERETT AVE. <br /> & REPLACE SIGN POSTS AT LOCATION <br /> PERMIl'CONDITIONS <br /> 1. Ail 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. Per approved plan <br /> Contact Randy Ailen for questions and Inspections at 425-339-7403 W <br /> � <br /> � <br /> � <br /> � � � � � <br /> z <br /> DEC 2 1 2012 � <br /> F <br /> CI'TY 0}� CVLRL'TT � <br /> Pennit Sen�ices a <br /> NCKNOWLEDG[td�ENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless Ihe City of Everett from any and all claims for <br /> damages, cosls,expenses, or causes of action that may arise <br /> j� , because of installation and maintenance of the improvemeM <br /> ? ��� or other righl-of-way use hereto applied for 2nd furiher agrees <br /> ` �� to remove same upon notice from the City and to replace <br /> App�e� sfrtic'tio���� �e public property damaged thereby. <br /> � ��l- � •�G�- ll�o f� �alT�12 <br /> F��AL INSPE ION Date <br /> Approved as Constructed Signature of Applicant Date <br /> 1NORK AUTHORiZED 8Y THIS I`ERMif MUST BE STARTED VJiTFiIN 180 DAYS OF DATE PERMR 15 ISSUED AND THEREAfTER]5 TO BE DILIGENTLY <br /> PURSUED TO COMPLEiION. TH15 PERMR MAY BE CANCELLED BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PRO)ECT OVER 90 DAYS CURAT70N. <br />