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PUBLIC WIO�RKS PERMIT °ate s"��'°,' <br /> Public Works Permit # PW1508-016 <br /> � Cil��o(Everett Public Works Department <br /> � � 3200 Cedar Street Buildinp Permit #; <br /> +�. Evereu, WA 98201 Planning Reference#: <br /> . • (425) 257-8810 <br /> Public Works F�e $: $ ?'�.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WAGNER R.ALPH WAGNER RALPH <br /> "0408 COPJIMERCIAL AVE 6A08 COMMERCIAL AVE <br /> [VERETT WA 98203 EVERETT 1+JA 98203 <br /> PHONE: 4254588070 PNONE: 4254588070 <br /> TAX PARCEL ID# 00544700803200 SITE ADDRESS: G40A CO�iMERCIAL AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> FENCE IN RIGHT-OF-WAY <br /> (8/1'I/20'15 329 PM SEF) <br /> OCCUPYING SOUTH BOUND LANE TO INSiALL NEW 1-1/f3" GAS SERVICE AT 350' NORTH OF C/L OF 100TH ST <br /> SE AND 31' WEST OF GL OF 24TH <br /> PERP/IIT CONDITIONS <br /> 1. Ail ca!Is for inspecGon shall be made 24 hours in advancz <br /> 2 All work shall oe performed in accordance��.'h the permit and current C�ry of Fvere;t Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 <br /> 4. Once utilities are located, note location�vith surveying markings. Fence posts should split the difference aroLnc�� <br /> utilities to avoid making contact wdh the existing watedsewer lines. Do not drive a fence post closer than 2ft o�:;n M V <br /> Bx�sifng utiliiy. � �m � �„�,� <br /> � �' � � <br /> 5. Fence must be no grealer than 6ft in height s; G <br /> r rr LL O <br /> Public Works Permit Fee Breakdoevn �'�r <br /> Fence in ROW 5<5.00 t^ �'_ � <br /> 41 L� � <br /> i.n � O <br /> ' ' .,. � <br /> f_ �'`�� <br /> ,-; G r=: c,:'S (/� <br /> �'�`^� � <br /> � , LL <br /> ._ . � ''L <br /> nc���raow��oc�_r.a�rn or �:oNoinor,s <br /> The unders��gned ownerlapplicanl hereby agrees to ho'd and <br /> save harrnless the City o(Everelt from any and ali claims for <br /> � damages,cosls,expenses, or causes o(aclion Ihal may anse <br /> � �/�, �,�e because of ins!allation and maintenance of the improvemenl <br /> �''�++V�.t� 8-�y-ao�s or other righY f-way use hereto aPF'lied(or and funher agrees <br /> Dale lo remove me upon nolice from lhe Cily and lo replace <br /> App ve for ons � public p y maged�hereby <br /> � ?�/� g—��t �! `) <br /> INAL INSP TION Date <br /> ,4pproved as Construcled Signa�ure of Ap hcant Date <br /> L <br /> Ih�ORK AUTHORiZED BY THIS P[RhiR h1U5T BE STARTED WRHIN 1B0 DAYS OF DATL P[RPiR 15 ISSUED AND 7HEREAFTER IS TO 6E DIUG[NTLY <br /> PURSUED TO COt-0PL[TIOId. T1fI5 PERh1IT�4AY BE UNC[LIED f3Y THE CffY UPON APlY STOPPAGE OF V:ORK ON THIS PROJLCT OVER 90 DAYS DURA710N. <br />