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�e� <br />_� ; crr- � r <br />PUBLIC WORKS PERMIT <br />City of Eve�ett Public Works Department <br />3200 CEBdar Street 10-13-2Gfi'i(TU�> <br />Evere�'jJhl�► 98201 REG-1 <br />(425) 257-8810 <br />rERMIT i�o.o� :00u4 <br />Date: 10/2/2009 <br />Public Works Permit #: PW0910-004 <br />11:G1 Buildinq Permit #; <br />����nninq Reference #: <br />Public Works Fee $: $ 25.00 <br />C]thar �� <br />OWNER NAME AND ADDRESS: jL ` ��IC� NAME AND ADDRESS: <br />HENRY I GOLDSTEIN CtiRD $�5.U4 <br />2209 FAIRFAX AVE <br />EVERETT �n/q 98203 <br />PHONE: 4252801724 PHONE: <br />TAX PARCEL ID # 00495800901001 SITE ADDRESS: 2209 FAIFFAX AVE <br />DESCRIPTION OF PROPOSED WORK: <br />FENCE IN R-O-W - 3 FEET HIGH <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 Specifcations. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Property owner is responsible for removing the fence at their expense if the City needs to work in the right-of-way <br />Call Public Works inspector, Randy Allen at 425-339-7403, for a final inspection <br />W <br />F"� <br />►.w <br />� <br />�: <br />� <br />� <br />z <br />0 <br />� <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims tor <br />damages, costs, expenses, or causes ot aclion that may arise <br />because oi installalion and maintenance oi the improvement <br />or other right-of-way use hereto applied tor and further agrees <br />to remove same upon notice irom the City and to replace <br />public property damaged thereby. <br />��"`c--�.c�%i ��l' . l�f�T <br />Signature of Applicant Dale <br />� <br />WORK AUTHORIZED BY THIS PERMIT MUSi BE SfARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DIUGENTLY <br />PURSUED TO COMPLEfION. THIS PERMIT MAY BE UNCEILED BY THE CITY UPON ANY SfOPPAGE OF WORK ON THIS PROJECi OVER 90 DAYS DURATION. <br />