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PUBLIC WORKS PERMIT D�ic. 3112/7_0'15 <br /> � Public VVorks Permit 1�: PW1504-022 <br /> ✓/U� Cily of Everett Pubfic'+Vorks Department <br /> � �,�q,z'r,�?;,,;✓.—� <br /> 3200 Cedar Streel Buildinp Permit#; <br /> Everett, WA 98201 P�annino Reference�t: <br /> (425) ?57-8010 <br /> P�,bGc Nlorks Fee S S 433 ;4 <br /> Other S: <br /> OWNER NAfdE AND ADDRESS: APPLICANT NAtv7E AND ADDRESS: <br /> FIRST UNITEU METHODIST CHU MICHAEL LA FON <br /> 3530 COLBY AVE <br /> EVER[TT WA 96201 I <br /> PHONE: FHOYE: 2063959E72 <br /> TAX PARCEL ID# 0045;400601100 SITE ADDRE55: 3530 COLBY AVE � <br /> � <br /> D[SCRIPTION OF PROPOSED WORK: , <br /> RE-GRADE& PA'/E PARKING LC i-FIRST UNITED h1ETHODIST CHURCH i <br /> I <br /> I I <br /> PERhAIT CONDITION� <br /> 1. All calls (or inspection sh,,ll be made 24 hours in advance. <br /> 2. All a�ork shall be performed in accordance with the permit and current City cf Evcrett Dcsigr, and Cons:-uc'ion �tanczrds <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 I <br /> 4. Work to be done per 2pproved plars dated OA-28-2015 � � � <br /> 5. Any damage to the City Sidewalk shall be replaced at the direction of the Gty I�specter, I � <br /> ..� <br /> � f. <br /> 6. Contact the Ciry of Everett Public Works Inspecbr Randy Allen at A25-339-7403 prior to starting constrcction I M <br /> I � <br /> ..: <br /> �.rt,Vl � F��.�ev0 % <br /> �� +�� � �2�p�1t� � <br /> �w I v1S �E 25�.��o v� <br /> dt �� (�q,Y 1'� � <br /> �J,�,� b53o��- P�lb� <br /> cc. 5'�IIS <br /> ACIWOVJLFDGLM14ENT OF CONpITIONS � <br /> The undersi�ned owneduFPlicant hereby agrees lo ho�d and <br /> s2ve harmless ihe Cily of Gverclt (rom any and all claims for <br /> s" — / �S' damac�es, cosls, expenses,or causes of action that may arise <br /> because of insWllation and mainlenance of the improvement <br /> ^ `J � or other riyht-of-way use hereto applied (or and further agrees <br /> lo remove same upon nolice from the Cily and io replace <br /> App e o onslr � � Dal public property damaged thereby. <br /> ��� �=�—/S <br /> INAL INSP ,TION Date <br /> .Approved as Conslructed Signature of Appl�cant D21e <br /> l5'ORK AUTHORiZED OY THIS pERMR MUSTl3[SI'ARTCD WIINI\'!d0 OdVS OF DATE P[RMfT 15 IS�U�C���C ilt ?Eld�iF!i IS i 0 tiE iJil IC!:N7LY <br /> PURSU[D TO COMPI-�l70N. 11115 PER�dfi NAY LE CANCfiI.LE.D E3Y TIIE C(iY UPON ANY STOPPAGf 01-A:URK 0� i IIIS Pi2Dlt i'1 CP[!t �� i l�h �S uUR4�I(iA' <br /> �vV <br />