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� <br /> .;:�r:.�:; : <br /> �UBLIC 4'W�Ri(� PERiVd�T Date: 8/18/2010 <br /> ,,;i'', °'' Public Works Permit#: PW1008-026 <br /> City of Everett I��lic Works D�(�O�TfN) 10:13 <br /> - 32o��larStreet�G1 028380 Building Permit#; <br /> ,.:,:;;Y�.,; . Everett, INA 9820•I <br /> CT Planning Reference�I. <br /> - (4��'����8�b public Works Fee$: $ 180.00 <br /> 1 OTHER $160.00 Other$: � <br /> �C � TNAMEANDADDRESS: <br /> OWNERNAMEANDADDRESS: ��¢�I( <br /> SNOHOMISH CO. PROP MGMT JOE BROWN <br /> 3000 ROCKEFELLER AVE 7100 HARUESON RD. <br /> tVERETT WA 98201 EVERETT WA 98203 <br /> PHONE: 4253823400 PHONE: 4253563435 <br /> TAX PARCEL ID# SITE ADDRESS: P/IULTIPLE <br /> DESCRIPTION OF PROPOSED WORK: _ <br /> BRT STATION-(2807,2810, 2783, 2784) p, �,�� G d r' <br /> (8/1 8/201 0 11:22 AM BES Y <br /> STATIO 28 7(6729 EVERGREEN WAY) 2870(6210 EVERGREE�WAI� �2783(11131 EVERGREEN WAY), <br /> #2784(1 0 <br /> UK, e <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shali be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current City of Everett D=.siyn and Construction Standards <br /> and Specifications. <br /> 3. Call Location Undei ground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. CONSTRUCT PER APPROVED PLAN. <br /> � <br /> � <br /> � <br /> h <br /> � <br /> � <br /> 0 <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Tho underslgned owner/applicant hereby agrees to hold and <br /> save harmless the Ciry of Everett from any and all clafms for <br /> ! damages,costs,expenses, or causes of action that may arise <br /> �„_„�"•., . a because of installation and maintenence of the improvement <br /> ._;'>' ' C � or other right-of-way use heretu applied for and further agrees <br /> =7_..;�._A�.- � � 1 ZS zU l� to remove ma upon natice from the City and to replace <br /> /Ippr b}�e s i� bns i / Dat _/� ubli pr pe y damaged there y. <br /> �l_//_/�.�J.,__�!�- — �._y �// � l <br /> INSPECTION Date <br /> Approved as Constructed Signature ofAppiicant Date <br /> WORK AUTHORIZED BY 7HIS PERMIT MUST BE STARTED WifHIN 180 DAYS OF DATE PERM[T IS ISSUED AND THEREAFlER IS TO BE DILIGENTLY <br /> .....,....��......-.,....�.�.....� .......�.-......�.,...,.�..,,�.-�����.,,,n,��,,,.���,.,.� n.�v�noonr.cncurnovnni�urcconurrnvFuannav¢nnRa'nnN. <br />