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� <br /> , <br /> PiJBLIC WORKS PERMIT Date: 4/18/2013 <br /> -' City of Everett Public Works Department Public VVorks Permit#: PW 1304-015 <br /> � 3200 Cedar Street Buildinq Permit#; <br /> Everett, WA 96201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 245.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> COMCAST-VICKI BURNS BILL TODD <br /> 1525 75th ST SW SAME <br /> EVERETT Wq 98203 <br /> PHONE: 4252635461 PHONE: 2534056529 <br /> 7AX PARCEL ID�F SITE ADDRESS: 1711 EDGEMOOR LN <br /> DESCRIPTION OF PROPOSED WORK: <br /> DIRECTIONAL BORING <br /> (4I18I2013 1:54 PM BES) <br /> BORE/TRENCH AND BURY CATV SERVICE <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 Consfruction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � � �; <br /> mi <br /> 4. CONTRACTOR MUST CONTACT CIN INSPECTOR RANDY ALLEN 425-339-7403 PRIOR TO STAR�ING�; i� "' <br /> WORK. _, . <br /> l�r=i :�: �l <br /> 5. TRAFFIC CONTROL PER CITY OF EVERETT/MUTCD STANDARDS. ��.: x �_� hr� <br /> -; �, �- E„� <br /> ^ :i-�: I-�I <br /> c. <br /> ui n i'_.� <br /> i� /,y� <br /> i- %:M�I <br /> ` i <br /> V J `O <br /> I�� �� <br /> \ �1�-1 <br /> i.�.l�v <br /> i��� ro <br /> �n �i <br /> �. �O <br /> ��` •�� <br /> J rJ C <br /> —�h• <br /> �a <br /> �--- � <br /> 1� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees lo hold and <br /> save harmless Ihe City o(Everetl(rom any and all claims for <br /> damages,cosls,expenses,or causes of action lhat may arise <br /> because of installa ' n and mainlenance of ihe improvement <br /> 2 � 1� or olher righboL�y�use hereto applied for and fwiher agrees <br /> pp e or s •a / to remove sam�'upon notice from the City and lo replace I <br /> )A public propert�6amag d)thereby. <br /> r / 7' -�� i���j <br /> FINAL INS CTION Date 7'S 'l� <br /> Approved as Constructed S n ure of Applicant Uate <br /> NORK AUTHORIZED BY THIS PERMIT PIUST B[STARTED WITHIN 180 DAYS OF DA1 PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTI.Y i ' <br /> °URSUEDTOCOMPLETION. THISVFRMffh14VRFfAN�F�iFnav-ruGrmiinnu ���vr'�.��.�......�...,..,,.._..____.__ _..__ .. � <br />