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PUBLIC WORKS PERMIT Date: B/25/2008 � <br /> Public Works Permit#: PW0808-029 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buildinp Permit#; <br /> `�� Everett, WA 98201 <br /> (425)257-881 o Planninp Reference #: <br /> Pubiic Works Fee $: —$�-09�r�, <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CITY OF EVERETT ROW VERIZON NW INC <br /> 3200 CEDAR ST MATT GERfVER <br /> EVERETT WA 98201 <br /> PHONE: 4252578800 PHUNE: 4252634026 <br /> TAX PARCEL ID# 29053100401500 SITE ADDRESS: 5108 EVERGREEN WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> OVERHEAD CABLE (VERIZON JOB 2080 3PFAOCY 242140) <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 the permit and current City of Everett Desiyn and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FRFE NUMBER 811 <br /> 4. Traffic control per current MUTCD Standards <br /> 5. Replace any broken sidewalk or curb W <br /> 6. Slart time 8:00 am --Off roadway at 3:00 pm � <br /> �-1 <br /> � <br /> � � v � � <br /> AUG I 3 2009 � z <br /> �'1�'��'or- ., � <br /> �'r�,���,�,,t;t��;��- E..,, <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett irom any and all claims for <br /> damages, costs,expenses, or causes of action that may arise <br /> � because oi installation and maintenance of the improvement <br /> , �n:` ��� � �f pg' or other righ4of-way use herelo applied for and(urther agrees <br /> to remove same upon notice from ihe City and to replace <br /> Apprd �Cons '.acti Date public prop rty.damaged thereby. <br /> !'.�/�� ; ��-, �z ��a' �'� ��� <br /> FI AL I SPEC ON Date 1��_" �_�'-' �3'� � <br /> Approved as Constructed Signature of Applicant Dale <br /> WORK AUTHORI2ED BY THIS PERP1IT MUST BE SfARTED WITHIN 180 DAYS OF DATE PERPIR IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COhiPLEfION. THIS PERh11T MAY�E CANCELLED BY TH[CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />