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� <br /> PUBLIC WORK.�'i PERMIT Date: 1/6/2012 <br /> Public Works Permit#: P1N1201-002 <br /> /� Ciry of Everett Public Works Department <br /> /�'�ii.=,rdaU�% <br /> 3200 Cedar Street Buildinp Permit#; <br /> Everett, WA 88201 Planninp Reference#: <br /> (425)2:i7-8810 <br /> T� P�ST�NG_ LU"Z5 _�ZPublic Works Fee$: $ 440.15 <br /> Other $: <br /> GWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> Boeing Co. LEONARD ASTEMBROSKI <br /> P.O.BOX 3707 MC OH-13 SAME <br /> SEATTLE WA 98124 <br /> PIiONE: 4258762594 PHONE: 4258762594 <br /> TAX PARCEL ID fl SITE A�DRESS: 3003 W. CASINO RD <br /> DESCRIPTION OF PROPOSED WORK: <br /> Rail Spur <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shatl 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. CONSTRUCT PER APPROVED PLAN. <br /> E"� <br /> � <br /> � <br /> O <br /> � <br /> z <br /> �' �`,`> ,:;, IUl !, f;--., O <br /> � � <br /> � JAN 2 3 2012 U) O <br /> � <br /> •,� I Y O� �i\�lil<I: � � a <br /> � �.i� '•rrviccs <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapplicant hereby agrees to hold and <br /> save harmless the City of Everett irom any and all claims for <br /> damages,costs,expenses,or causes ot ar,lion that may arise <br /> because of installation and maintenance o(the improvement <br /> � �b ��� or other righl�o6way use hereto applied for and fuAher egrees <br /> to remove seme upon notice from Ih City and to replace <br /> pp ed for Conslru ti D ? — �ic propeAy damaged thereb . <br /> /� /� <br /> ,f' _� if.,-�.. . . �,�,�,�y � <br /> FINA INSPEC� Date �" ' � ��`�7� <br /> A �roved as Constructed ` � � <br /> i� �> <br /> p� _ Signalure of Applicant Dale <br /> WORK 1�U7110RGfD [il"l IIIS PI 1Y�11I l�1USI'IIP 51'hl:i 1 D ll9THI�J Ift0 DAYS OP DATL PERIdIT IS IS- ' P <br />