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i / <br /> �` PUS6.IC WORKS PERMIT Date: 2/25/2010 <br /> ' Public Works Permit#: PVv'1002-U16 <br /> • City of Everett Pu::lic Works Department <br /> ��;;r�...;��� 3200 Cedar Street Buildinq Permit#; Qr6Dl UZ�,; <br /> �,;. , Evere;t, WA 98201 Planninp Reference #: SPU09-007 � <br /> (425)257-8810 <br /> Public Works Fee $: $ 45.OU <br /> Olher $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SNOHOMISH COUNTY PUD <br /> 2320 CALIFORNIA <br /> EVERETT �n/q 98201 <br /> PHONE: 4257835627 PNONE: <br /> TAX PARCEL ID# 00392300000201 SITE ADDRESS: 8824 EVERGR[EN WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> POLE &ANTENNA FOR CLEARWIRE <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 Construction Standards <br /> and Specifications. <br /> 3. Call Lc,cation Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Standard drawings 701 C, 701 D, 701J are acceptable for <br /> this work. For shoulder(701C) or single lane(701D) closures no time of day restrir,tions are required. For muftiplie� � <br /> dosures (701J) no work belween 2 P.M. 8 G P.M. Monday to Friday (No weekend restrictions. ,._, _ �� G:� <br /> Call Michael Brick if you have any traffic questions. =� • F" <br /> l�i—'`� �--� <br /> T' r�'+�i •`� C� <br /> 5. Make sure there is at least 3 feet clearance between lhe new pole at S.E. corner of the property add the�fire� p <br /> hydrant. �, <br /> r� mr i O <br /> 5. Construct per approved plan. � ti <br /> � r- O <br /> C�i ` y � <br /> i-, F C/� <br /> :�0:^ � <br /> �o.=^_, �'; � <br /> �� ����" 0. <br /> ' ���� C'C��`/�G�i� /'��' f/�`tsi�/c= POn///G�S✓'�7'� <br /> �,J/T�f �G/,� - 2/�h'�� C201/�_ <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicanl hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> � damages, wsts,expenses,or causes of aclion that may arise <br /> "" � because of inslallation and maintenance oF Ihe improvement <br /> __ __ ' 9s-t Eu� �� ��� or other righl-of-way use hereto applied for and(urther agrees <br /> fOVBd fof Co� fu i0n Dat to remove same upon noti rom the City and to replace <br /> PP publ' p perty damage reby. <br /> ���1 - , ����� /� � 3���� <br /> .bf Ai�NSPECTION Date �•-- <br /> Approved as Constructed 2 �v��d ig ure of r� licant �ate <br /> SVORK AUTHORIZED OY THIS FERI4IT 14U5T BE STARTED WITHIN 180 DAl'S Of-DATE PERNff IS ISSUED AND THEREAF7[R IS TO�E DILIGE�Ji-LY <br /> PURSUED TO COIdPLET10N. THIS P[RP1IT�4AY BE CANCFLLED BY THE CITY UPON A�lY'STOPPAG[Of PJORK ON THIS PROJER OVER 90 DAYS DURATION. <br />