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Date: 8/18/20? 0 <br />�„ , '� ����9�+ ����� ������ Publ[cWorksPermit#: PW10G8-026 <br />'" City of Evereft f��,blic Works D,�pg�tr�0ETH11) 10:13 guilding Permit #; <br />� .r;,::' = = = � 320Q��lar Street gE&-1 028i80 <br />,,�, Everett, INA 98201 CT Planninu Reference #: <br />�= � ' (4���Fi�t�$I1�8026 <br />Public Works Fee $: $ 180.00 �- <br />OWNFR NAME AND AUDRESS: <br />SNOHOMISH CO. PROP MCMT <br />3000 ROCKEFELLER AVE <br />EVERETT WA 98z�J1 <br />PHONE: 42.53883400 <br />llC PARCEL ID # <br />DESCRIPTIOM1 OF PROPOSED WORK: <br />BRT STATION-�2807, 2810, 2783, 2784) <br />(g/1 g/Z010 11:22 AM BE� _ <br />1 OTNEk 8180.00 <br />Other �: <br />NAME AND ADDRESS: <br />JOE BROWN <br />7100 HARDESON RD. <br />EVERETT WA <br />PHOIdE: 4253563435 <br />SITE ADDRESS: MULTIPLE <br />98203 <br />r <br />O, ��i G Di� <br />(�`�2610(6210 EVERGREEN WAY),�2783(11131 EVERGREEN WAY), <br />UK. �� � <br />PEfiMIT CONDITIC�vS <br />1. All calis for inspectf�n shall be made 24 hours in advance. <br />2. Ail work shall be perfoimed in accordance with the perrtiit and current City uf Everett Design and Construction Standards <br />and Specif;cations. <br />3. Ga!I Location Underyroi,nd Service 48 hrs before you dig. TOLL FREE NUMBER 811 t- <br />4. COPJSTki;�T PER AP?ROVED PLAN. <br />tor <br />'ECTION Date <br />as Constructed <br />'�� <br />H <br />� <br />� <br />� <br />h <br />z <br />0 <br />H <br />� <br />0 <br />w <br />ACKN04`/LEDGEMENT OF CONDITiCNS <br />The undersigned owner/applfcant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and mainlenance ofthu improvement <br />or other right-of-way usa hereto applied for and further agrees <br />to remove me upon nolice from the City and to replace <br />�ubli pr pe ydamagedthere y. <br />l <br />Signature of Applirant <br />�ate <br />WORK AUTHORIZED BY iHIS PERMiT MUST 8E SfARTED WIfHIN 160 DAYS OF DATE PERMIT iS ISSUED AND THEREAFfER IS TO BE DILiGENTLY <br />�� ������.� .ri. i•r.uni rnnn� �r+nr nr.nnerr eeev oe rnurn 1 en oV TJe f'i'N I IDnnl �nIV CTl1DDAGF f1F 1N(1GKl7N 7HIC GRi11F(T(1VFR 0(1 DAYR nIIRATTON. <br />