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:F�<:<, <br />�� <br />�4 l�L�:� �)'�i�� <br />, .� <br />PUBLIC WORKS PERM17 <br />Cily of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 99201 <br />(425) 257-SF 10 <br />OWNER NAME AND ADDRESS: <br />HEMMAT AL�EN R & SHARON <br />21301 TYEE RD <br />MOUNT WA 98z�4 <br />VERNON <br />PHONE: 4253877338 <br />fAX PARCELID # zg041300103700 <br />Date <br />Public Works Permit #: <br />Buildinp Permit #; <br />Planninp Reference �:: <br />9111/2008 � <br />PW�)809-011 <br />P.0809-031 <br />Pub�ic Works Fee �: � 45.00 <br />Other $: <br />APPLICAtJT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 8410 FVERGREEN WAY <br />DESCRIPTION OF PROPOSED WORK: <br />NEW BRT (BUS SHELTER) BIOMAT USA PLASMA CENTER <br />STATION # 2796 E.CASINO RD. AND EVERGREEN WAY SOUTHBOUND <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be mzde 24 hours in advance. <br />2. All work shall be performed in accordance wilh the permit ard current City of Everett Design and ConstrucUon Standards <br />and Specificalions. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. CONSTRUCT FER PLAN. <br />La <br />E� <br />�. <br />� <br />qd fn ovkd for Co tr tion <br />7-� � <br />.�;- r .�: <br />�iNac-r sPecrioN <br />Aooroved as Constructed <br />.-_-�; <br />�l <br />ACKNOV�LEDGEMENT OF COM�I?IONS <br />Thr, undersigned ��vrer/applicant iiereby agrees to hold and <br />save harmless Ihe City of Everett from any and al claims for <br />damages, cosls, expensea, or causes of 3clion that may arse <br />because of ins�allation ar j maintenance of the improvement <br />or olher right-of-�a2y use hereto applied (or ; nd iurther a9rees <br />to reR �ve same upon nolice fiom the Cily and to replare <br />public p�operty damaged th�reby. <br />�-�'���" ���/�� <br />Signalure of Applicanl <br />Date <br />WORY. AUTHORIZED 6Y THIS P[RP1IT h1U5T 6E STARTED WITH:N 160 DAYS OF DATE PERMIT IS 155UED AND THEREAZEP. IS TO BE DILIGE�lTU' <br />PURSU�D TO COt�1Pl.[170N. l"HIS PERh11T f•tAl' [3E UNC[LL[C OY TH[ CIiY UPOPJ ANY STOPPAGE OP \VORK ON THIS PROJECT OVER 90 DhYS DUfNT10N. <br />