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IeNbn For <br /> PUBLIC �ORKS PERM[T °a _ <br /> � PUBLIC WORKS DEPARTMENT Public Works Pertnit N <br /> 3200 Cadar Street . <br /> Everett,WA 98201 259-8810 Building Pertnit N <br /> TYPE OR PRINT ONLY Pubilc Work.^.Fee S _ <br /> Plan Check No: B 61q37 SEPA <br /> Applicat.Date: 12 08/98 �� <br /> Job Addtes EVERGREEN WY phone <br /> Owner Ownar: SNOHOMISH CO PUD <br /> Te�nar,'_: US WEST WIRELESS <br /> Proposer, Uee: WIRELESS BASE TRANSCEIVER <br /> Deec. of Work: <br /> Applicant INSTALL 3 PANEL ANTENNAS ON PUD POWER POLE Phone <br /> TO REPLACE EXISTING <br /> Describe Proposed Work OFFICE SET JOH SET , . ■ <br /> - APPAVD FOR PERMIT: DATE_/_/_ BY � <br /> �� <br /> �/ <br /> PROJECT ADDRESS(if known) M <br /> Attach four(4)copies of plans tor proposed work-Draw to scale and note the followlrig I(applfcabie: � � <br /> •Property Lines 'Outline end dimensions of all existing and proposed structures on the lot •Extsting and proposed utll'dles <br /> •Centerline of street •Indlcate North •Show any proposed grading changes •Show�.ieasurements � <br /> DO �OT WRITE BELOW THIS LINE � <br /> PERMIT CONDITIONS: <br /> 1.All calis for inspection shail be made 24 hours in advance- phone 259-8810. • O <br /> 2. All work shall bo performed in accordance with this pertnit and current City of Everett Design and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dfg. TOLL FREE NUMBER 1-800-4245555. ` <br /> r <br /> � <br /> � <br /> a <br /> ?WOUC WORKS �GRMIi' <br /> KOuT RG@()�,R.6,,i <br /> �N Y_�,r�,,,�,��,,g�s <br /> bAT�. /z_ 9�9B ,. <br /> ' ----_.. <br /> ACKNOWLED(3EMENT OF CONDITIONS <br /> � The unders(gned ownedapplicant hera6y agrees to hold and s2va hartnless <br /> tha Ciry of Everett from any and all cialms for damages,cos4s,expenses,or <br /> causes of action that may arise because oi installallon and maintenance ot <br /> Approved for Consiruction Date the improvement or other right-ot-way use hereto appiied tor and further agrees <br /> to remove•same upon notice from lhe City and to replace pubiic property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Construcled <br /> Signature of Applicant �at` <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STAHTED WITHIN�180 DAYS OF DATE PERMR IS ISSUED AND THERFAFfER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLEf10N.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DURATION. <br />