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� <br />F.a-. �r,r,-, <br />11-�� >L�suO <br />PUBLIC WORKS PERMIT Date 1 1 /1 31200 9 <br />Public Works Permit #: PW0911-026 <br />Clry of Everett Pubiic Works Department <br />3200 Cedar Street 11-1r� ;h.�it+� I'0;�> 11:25 Buildinq Permit #: <br />Evereti�°1n}R• 98201 t'tG-� �p]��aninq Reference #. <br />(425) 257-8610 Li <br />f'EF'nIT i{o.�i911u�h Pubtic Works Fee 5: 5 25 00 <br />OWNER NAME AND ADDRESS: <br />HUN HOEURT <br />9212 10TH AVE SE <br />EVERETT WA 98208 <br />PNONE: 4253384938 <br />'AX PARCFL ID # 00392901200602 <br />DESCRIPTION OF PROPOSED WORK: <br />SEWER REPAIR WORi< RIGHT NEAR CITY ROW <br />INCLUDES TRAFFIC CLOSURE ON MADISON <br />Other $: <br />AND ADDRESS: <br />PIPEUNE'�tUDUSTRIES INC <br />f�t�N�PS�'( ST <br />SPOKP.���� WA 99201 <br />PHONE: 20668215�4 <br />SITE ADORESS: 1225 MADISON ST <br />PERMIT CONDITIONS <br />1 All calls for inspection shall be made 24 hours in advance. <br />2 All work shall be periormed in accordance wdh the permit and current Ciry of Everett Design and Construction Standards <br />and Specifications. <br />3 Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4 No dirt, mud, rocks or debris to be Iracked onlo roadway. <br />5 No builtling materials to be slacked on sidewalks and sidewalks to be kept clean and open for pedestrian travel. <br />6 Remove and replace curb, gutter and sidewalk as per City of Everett Standard Plan #'s 305A 8 306 on this <br />proposal's (rontage as directed by the Public Works I�spector (i.e. all unused driveways and any broken or <br />damaged area must be replaced). <br />7. Follow Traffic Control plan as approved by City of Everett T�affic Division <br />FOR PUBLIC WORKS INSPFCTIONS CALL RANDY ALLEN AT 425339-7403 <br />`7k�o`�.o-a�� //-/.�-o P <br />App ved for Construction Dale <br />FINAL INSPECTION Date <br />Approved as Constructed <br />W <br />� <br />.r <br />� <br />CA <br />� <br />h <br />z <br />0 <br />� <br />0 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersignrd owner/applicant hereby agrees to hold and <br />save harmless t,ie Ciry of Everett (rom any and all claims for <br />damages, costs, expenses, or causes of action Ihal may arise <br />because of installation and maintenance of the improvement <br />or other right-oi�way use hereto applied for and (urther agrees <br />to remove same upon notice lrom the City and to replace <br />public property damaged thereby. <br />�� i /�-/� "/J �'i <br />Signature ol AppV� Date <br />WORK AUl MORIZE7 BY THIS PERMR P1UST BE STARTED W[THIN I80 DAYS OF DATE PERMR IS ISSUED AND THEREAFTER IS Te BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT P1AY OE CANCELIED BY THE CifY UPON ANY SfOPPAGE OF VJORK ON THIS PROJER OVER 90 DAYS DURAT70Y. <br />