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r <br /> G� P�JBLIC WORKS PERMIT Date 7/2GI2011 <br /> Public Works Permit#: PW1107-011 <br /> Cily of Everett Public Works Department <br /> 3200 Cedar Street 13uiidinp Permit #; <br /> � 'i�7������`�;�� Fverett, WA 98201 Planninp Reference#: <br /> (425) 257-8810 <br /> Public Works Fee S: 5 SOS.UO <br /> Other �: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> DOEING COMPANY OWNER <br /> PO E3UX 3707 MS 1 F 09 <br /> S[ATTLE WA 98124 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 28041000100200 SITE ADDRESS: 3003 W CASINO RD <br /> DESCRIPTION OF PROPOSED WORK: <br /> REPLACE ASPIiALT PAVING WITIi CONCRETE <br /> FOR SOUTHERN PASSAGE WAY FOR 767 <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 Ciry of Everelt Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE WUMBER 611 — <br /> 4. KEEP CITY STREET CLEAN. <br /> 5.TRUKS STAGGING AR[A MUST BE ON PRIVATE(BOEING) PROPFRTY. W <br /> G .PUT INLET[ROSION PROTLCTION WHERE NECESSARY. � <br /> 7. CONSTRUCT PER APPROVED PLAN. i..,� <br /> � <br /> 0 <br /> � � <br /> � , �� <br /> �� «;i i_� ���� ����� � � <br /> ' I� �Pl �" � <br /> JEP ��i O 2�1� .../ � <br /> �� � <br /> 1 �i��i ���' �;V�}�Z�'.�• �� � <br /> ' 1i . -��) � ':1 <br /> '�.1'.i" �y <br /> ACKNOWI.LDGCMENT OP CONDITION:'� <br /> i <br /> i� The undersiyned ownedapplicant hr.rr,by agrecs te hald and <br /> save hannless the City o�Everell from any and all claims for <br /> damages,cosls,expenses,or causes of action Ihat may arise <br /> '1 bewuse of inslallation and maintenance of Ihe improvement <br /> _ ���� _ �--�, C� `T- ZG� or olher right-o6w�y use hereto app!ied for and further eg�ces <br /> _— to remove same upon notice from�I e City and to replace <br /> Ap �ye for Cons`ic ion ate pu6lic property d ag d lhereby. <br /> � `i` ��.. �� � ' 9�zd"� <br /> ��' �^ — � <br /> Ft1d INSPECTION Uate <br /> Approved as Constructed /l-'• Z 3 / SignaWre of Applicant Dale <br /> IVORK AUTHORIZED 6Y THIS P[RMIT MUST 6E STARTED WITHIN I80 DAYS OF DATE PERPIIT IS ISSUED AND THERfAFiER IS TO OC-DILIGENTLY <br /> PURSU[D TO COMPLETfON. T}115 P[RMff F1AY BE CANCELLED BY THE Cf7Y UPON ANY STOPFAG[OF\'dORK ON THIS PHO]fC f OVER 90 DAYS DURAl10N. <br />