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� ' C��?� �t�'� <br />PIIBLIC WORKS PERMI'E <br />City of Everett Public Works Depa�lment <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit #: <br />Building Pennit #; <br />Planning Reference#: <br />4/15/2010 <br />PW1004-020 <br />Public Works Fee $: $ 1,080.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND AD�RESS: <br />COMMUNITY TRANSIT <br />7100 HARDESON RD. . <br />EVERET�' W,a 98203 <br />PHONE: 4253563435 P:'ONE: <br />TAX PARCEL ID # SITE AODRESS: multiple <br />DESCRIPTION OF PROPOSED WORK: <br />INSTALL BUS �URB BUMPERS <br />INSTALL CURB BUMPERS AT COMfNUNIIY <br />TRANSIT SWIFT BRT STATIONS <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Design and Constructlon Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Traffic control per City of Everett traffic control standards. <br />5. Construct per approved plan 4/19/2010 <br />Date <br />as Constructed <br />2 <br />"2; <br />a� <br />� o <br />H N <br />t <br />N U <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned otvner/applicant hereby agrees to hold and <br />save harmless ihe City of Evereft irom any and ail claims for <br />damages, costs, expenses, or causes of action lhat may arise <br />because bf installation and maintenance of the improvement <br />or other right-of-r+ay use hereto applied forand furiher agrees <br />lo remove same upon notice from the City and to replace <br />pu lic pr� rty damaged t ereby. <br />�= a. ��� 1c� v�� �/asllv <br />SignatureofApplicant �ate <br />6'JORK AUiHORIZED BY THIS PERMIT MUST BE S7ARTED PJITHIN I80 DAYS OF DATE PERI4IT IS ISSUED AND THEREAFiER IS TO BE DILIGENTLY <br />PURSUED TO COPiPLETION. THIS PCRMCf MAY BE CANCELLED �Y THE CIfY UPON ANY STOPPAGE OF WORK ON THIS PROJECi OVER 90 DAYS DURATION. <br />