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PUBLIC �ORKS PEi2MIT ���� ,oisi�o,s <br /> , Pubiic Works Pcrmit #: PW1510-014 <br /> City of f_veret� Pubfc VJorks Departmer,t <br /> 3200 Cedar Street f3uilding Permd # <br /> Everett, wA 9e2Dt Planning Reference #. <br /> (425) 257-8810 <br /> Public Works Fee 5: S 45 00 <br /> Other 5' <br /> OWNER NAME ANO ADDRESS: APPLICANT NAA1E AND ADDRESS: <br /> i\TKINS VANCE A7KINS, VNNCE <br /> 3815 WOODLAND PARK AVE N 3815 b'VOODLAND PARK AVE N <br /> SEATTLC- Wq 98103 SEATTL[ Wq 98103 <br /> d <br /> PHONE: 2066910476 PHONE: 2066910476 <br /> TAX PARCEL ID p SITE ADDRESS: 3027 f3ROADWHY�E-- <br /> BORING IN ALLEY � <br /> � <br /> PERMIT CONDITIONS <br /> t All calls for inspection shail be made 24 hours in adoarce. <br /> 2 All work shall be performed in accordance with the permit and currenl C�ty ef E. eerelt Gesign and Ccn=_t�uction Slandards <br /> and Specifications. <br /> 3 Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 �; —a,,:; <br /> >, �.—� <br /> `" =�: �. ,�-��j <br /> 4 Aliey closure to be signed "Road Ciosed Ahead"at each end of alley. ��F: [� <br /> 5 Reslore pavement per currenl City of Everett Standards (#316 and #303, 303A). �; c ' ►-+ <br /> � ;� i/] <br /> 6 Pavement cutsldirectional boring shall be a minimum of 5R clear oi any existing underground utilitie�`1 � p� <br /> r*T s� ('i�� O <br /> 7. Call tor an inspection. See altached. `""' !� <br /> Public Works Permit Fee Breakdowre � "' � <br /> � ' O <br /> CuV�ore in Alley 545 00 (.�i ` <br /> r.� � LI <br /> n��n <br /> �JG�� ly'Jfl• O <br /> �1 � � <br /> 1� '� <br /> ��CKN�)b'VI.1 U�;l 611_M"�)I- CO`JD'�ll�lN:i <br /> 11'�e unaersigned oivnurapplicnnl heroby agro,�s�o hold and <br /> savc hannless the G;y ol Lveied hom any anC aIl el.�ims for <br /> ��` ���+++ n damages,costs,expenses,or causes nf action lhat may ai ise <br /> G � ,� � //��L �a�� �`�/� because o(mslallation and mainlenance ol the irnprovemenf <br /> �` �tCC�� or other right-oi-way use hcrelo appGed for and lurthcr agiec�. <br /> to remove same upon n�tice Irom the Cily and tn rc,I,�r.r. <br /> Approved for Construction �ate pubtic property damaged Ihereby. <br /> FINAL INSPECTION Date �^ �� � �J/� /�� <br /> Approved as Constructed Siynature o1 Appticant Date <br /> 1':OFK AU7HOFI�LU UY 1HI51'F2��fT PiUtii!3f S7ARIED YJITIIIN 7E0 Di�1S OF DATL PEHh11T IS ISSIILD AND 1H61i[AlZf-R IS TO UE UII I�fNTI Y <br /> FURSUEU l0 COI71'1L110P�. lHl�PCf:h11T t•1AY f?E(AIJCELLfiD BY lHE CIIY 11P0�J ANl'STOPr^1GE Of-1'JOFsU'J IHIS PiiO][C70V[F 91)UA1'S DURAiiO''!. <br /> ��� <br />