4935 EVERGREEN WAY SWIFT 2016-01-01 MF Import

` PUBLIC iR�ORKS PERNi�3� oate: �i��i2ooa "'" Public Works Permit#: PW0809-0�3 ''�� City of Everett Public Works Department � �-�� 3200 Cedar Street Buildinp Permit#; B0809-024 iG: '�-� Everett, WA 98201 Planninp Ref�rence #: (425) 257-3810 Public Works Fee $: � 45.00 Other $: OWNEk NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: ISADOR �HREIDER &ASSOCIATES COMPAUNITY TRANSIT 650 ORCAS ST STE 210 SEAT�LE VJA 98108 PHONE: 2066583104 PHONE: 4253Q87100 TAX PARCEL ID# 00581900000100 SI7E ADORESS: 4535 EVERGREEN WAY DESCRIPTION OF PROPOSED WORK: BRT STATION -QFC STATION #2815 50th ST. S.E.. AND EVERGREEN WAY NORTHBOUND PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hours in advance. 2. All work sha11 be performed in accordance with the permit and current City of Everett Design and Construction Standards and Specifications. 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 4.. CONSTRUCT P[R PLAN. � N � 0 � 0 � � � � P.CKNOWLEDG[MENT OF CONGITIONS The undersigned ownedapplicant hereby ac�rees to hold and snve harmless lhe City of Everetl from am;and all claims for damages, costs, expenses, or causes ot action ihat may arise � � because of inslallation and maintenance o(the improvement - �� _�Q or other right-of-way use herelo applicd (or and turiher agrees � � to remove same upon nolice from Ihe Ciry and to replace pprp e for on ti ate public property damaged lhereby. /O-/2 -o� /z//vb INAL INSP 'TION Date �/�� Approved as Constructed Signature of Applicant Date WORK AUTIIORIZED BY TI115 P[RhiR h1U5T 6F START[U W[TIi1N 160 DAYS OF�ATE P[RPi1T IS ISSUED AND THEREAFfER IS TO BE DIUGENTLY PURSUED TO COPiPLERON. THIS PERMIT hiAY 8E CANCELLED GY THE CITY UPON ANY STOPPAGE 01"WORK ON Tti1S PRO)[Ci OVER 90 DAYS DURATION.