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"" PUBLIC WORKS RERMIT Date: 9/11/2008 ' <br /> „.. <br /> Public Works Permit#: PW0809-010 <br /> City of Everett Public Works Oepartment <br /> ,' 320o Cedar Street Buildinq Permit#; B0809-025 <br /> ,;;s�'m`�� Everett, WA 98201 Planninq Reference#: <br /> (425)257-8810 <br /> Public Works Fee �: $ 45.GU <br /> Other$: <br /> OWNER MAME AND ADORESS: APPLICANT NAME AND ADDRESS: <br /> EVERGREEN WAY HOLDING LLC COMMUNITY TRANSIT <br /> CIO 1200 5TH�'✓E STE 1711 <br /> SEATTLE WA 98101 <br /> PHOt�E: 2G65154500 PHONE: 4253487100 <br /> TAX PARCEL ID# 00581900002800 SITE ADDRESS: 5002 EVERGREEN WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> BRT STATION - RITE AID <br /> STATION #2816 50th ST. S.E. AND EVERGREEN WAY SOUTH BOUND <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pertormed in accordance with lhe permit and current City of Everelt Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs be(ore you dig. TOLL FREE NUMBER 811 <br /> 4. CONSTRUCT PER PLAN. <br /> H <br /> � <br /> � <br /> 0 <br /> h <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicanl hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims tor <br /> damages, costs, expenses,or causes of adion ihat may arise <br /> because of installation and maintenance of�he improvement <br /> /� f_,.A or olher right-o6way use hereto applied for and furiher agrees <br /> ����� to remove same upon notice from the City and lo replace <br /> pr, d for o tr tib te public properly damaged thereb . <br /> / ✓ <br /> � � ��_�2 � / �� <br /> FINAL INSPE ION Date ./ / /Z / D� <br /> Approved as Construcled Signature o(Applicant Date <br /> WOR!C HUTHORIZ[D 6Y THIS PERFIIT h1UST�E STARTED WITHIN 180 DAYS OF DATE P[Rh1R IS ISSUED AND THEREAFfER IS TO BE�ILIGENTLY <br /> PURSU[D TO WI4PLETIOPI. Tt115 PERFIIT I•1AY OE UNC[LLED 6Y THE CI1Y UPON ANY STOPPAGE OF WORK ON THIS PROIECf OVER 90 DAYS DURATION. <br />