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/ <br /> Date: 8/18/2U10 <br /> l�UBi.IC VIIORI{S PERMI'i' public Works Permit#: PW1008-026 <br /> � ' City of Everett P���blic Works D�p��tr�O��J) 1�:1 j <br /> .�:' ' �, 32o��arStreet��G-a. ��a� Building Permit#; <br /> � Everett, WA 98201 ,f Plenniny Reference#: <br /> (4�'�'��7�8�Q�f� Public Works Fee$: $ 180.00 <br /> 1 OTHEk 5180.00 Other$: � <br /> OWNER NAME AND ADDRESS: ��HECIC ' $� T NAME AND ADDRESS: <br /> SNOHOMISH CO. PROP MGMT JOE BROWN <br /> 300D ROCKEFF_LLER AVE 7100 HARDESON RD. <br /> EVERETT �Iq 98201 EVERETT WA 98203 <br /> PHONE: 4253883400 PHUNE: 4253563435 <br /> TAX PARCEL ID# SITE ADDRESS: MULTIPLE <br /> DESCRIPTION OF PROPOSED WORK: <br /> i BRT STATION-(2807, 2810, 2783, 2784) p ��', L �k <br /> (8/18I2010 11:22 AM BES) <br /> STATIOi k2807(6729 EVERGREEN WAYj, 2810(6210 EVERGREE WAY) 2783(11131 EVERGREEN WAY� <br /> #2784(1 <br /> �K� �` e <br /> PERMIT CnNDITIONS <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 Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. CONSTRUCT PER APPROVED PLAN. <br /> W <br /> H <br /> F�1 <br /> � <br /> � <br /> � <br /> � <br /> z <br /> 0 <br /> H <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDG�MENTOFCUNDITION3 ' <br /> The undersic�ned owner/applicant hereby agrees to hold and i <br /> save harmless lhe City of Everett from any and a!I claims for <br /> . ; /� f� damages,cosls; expenses,or causes of action that may arise , <br /> _, :` %/ ; /Y / because of installation and maintenance of the improvement � <br /> �''> ' � . , _��1!L ('J ! � or othei right-of-way use hereto applied for and furiher agrees <br /> ""'��— '.��" ``- �'=�• �� `�� `��'��'� 'L�'�`'� to remove me upon r.otice from the City and to replace <br /> �1p�roy fo�,F�on.s� � Date� �/ ��pr pe y damaged thereby. <br /> �"LQ'L ' l— ��l n/ <br /> ��i/_ �//� _.-��.<---- i-z —�i � � l I <br /> INSPECTION Date _ , <br /> Approved as Constructed Signature of Flpplicant Date , <br /> WORK AUTNORIZED 6Y TI1IS PERPIIT hIUS'i BE S�ART[U INITHIN 180 DAYS OF DATE PERMIT li ISSUED AI�D THEREAFTER IS TO fc DILIGENTLY I <br /> PURSUED TG COPiPLEI"ION. THIS PERIdIT 67AY�E CANCELLED OY THE CITY UPON ANY STOPPAG[OF WORK ON'fHIS PRO)ECI�OVER 90 DAYS DURATION. ' <br />