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PUBLIG WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Sfreet <br />����'� Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit #: <br />Building Permit#; <br />Planning Reference#: <br />Public Works Fee $: <br />Other $: <br />OWNER NA�AE AND A�DRESS: APPLICANT NAME A D ADDRESS: <br />COMMUNITY TRANSIT <br />7100 HARDESON RD. <br />EVERETT 1/VA 98203 <br />PHONE: 4253563435 PHOIJE: <br />TAX PARCEL ID # SITE ADDftESS: muitiple <br />DESCRIPTION OF PROPOSED WORK: <br />INSTALL BUS CURB BUMPERS <br />INSTALL CURB BUMPERS AT COMMUNITY <br />TRANSIT SWIFT BRT STATIONS <br />4/15/2010 <br />PW1004-020 <br />� 1,080.00 <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. AII 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 di�. TOLL FREE NUMBER 811 <br />4. Traffic control per City of Everett traffic control standards. <br />5. Construct per approved plan 4/19/2010 � �� � W <br />i" �" � � <br />� <br />C�r ��= z <br />x o <br />n � � � <br />p� ifJ G <br />r� <br />I�J <br />� <br />tL_�` <br />1'_ <br />� <br />� <br />�� <br />!-' o K. ,,, <br />�� .�X <br />o�oo <br />rb'C.1o� <br />� <br />�j-�S l� <br />as Constructed <br />��� <br />-i-� <br />r_rl <br />r � <br />E <br />I� <br />� <br />� <br />O` <br />rJ <br />z <br />0 <br />� <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett irom any and all claims for <br />damages, cosls, expenses, orcauses of action that may arise <br />because bf installation and maintenance ofthe improvement <br />or other right-of-way use here;o applied for and further agrees <br />io remove same upon notice hoin the rity and to replace <br />pu lic p. rty darr,a�ed lf ereby. <br />i <br />�o Q' iCP�O 0 01/'�1 �'�a, �l� <br />Signalure of Applir,ant Date <br />VlORY. AUTHORIZED 6Y THIS PERh11T D1U51' BE SiARTED WITHIN 180 DAYS OF DATE PERh1IT IS ISSUED,iND TNEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO CODiPLETION. TtiIS PERMIT hiAY BE CANCELLED BY THE CIiY UPON ANY STOPPAGE OF WORK OM THIS PRCIECr OVER 90 DAYS DURATION. <br />