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IDate: 7/23I2012 <br /> �"j PIDBLIC WOR�(S PEI2MIT PublicWorksPermit#: PW1207-026 <br /> ��� City of Everett Public Works DepaRment <br /> 3200 Cedar Street Buildinp Permit#; <br /> �� "' }'�� Everett, WA 98201 Planning Reference d�: <br /> �„ -„�.-„ <br /> (425)257-8810 <br /> Public Works Fee$: 3 45.00 <br /> Other $: <br /> APPLICANT NAME AND ADDRESS: <br /> OWNER NAfdE ANU ADDRESS: COMCAST OF WA <br /> SADIS SAM S 410 VALLEY AVE NW <br /> 2928 152ND PL SE pUYALLUP WA 98371 <br /> MILL CREEK WA 98012 <br /> PHONE: 4252232062 <br /> PHONE: <br /> T'AX PARL'EL ID# 00544701402500 SITE ADDRESS: 2517 HOWARD AVE <br /> DESCRIP'iION OF PROPOSED WORK: <br /> VAULT FOR FIBER CABLE-COMCAST <br /> PERMIT CONDITIONS <br /> 1. All calls for insp�ction shall be made 24 hours in advance. <br /> 2. All work shall be performed in aa�ordance cdith the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Loc3tion Underground Service 48 hrs be(ore you dig. TOLL FRE� NUMBER 811 <br /> 4. Contraclor must contact inspector, Randy Allen at 425-339-7403 prior to starting any work. w <br /> ,. Must maintain a minimum of 10' from existing sanilary sewer on Howard Ave. H <br /> � <br /> � <br /> Q� <br /> � <br /> h <br /> z <br /> 0 <br /> H <br /> � <br /> 0 <br /> � <br /> ACKNOWLFDGFP�IENT OF CONDITIONS <br /> i he undersigned ov+ner/applicanl herehy agrees to hold mid <br /> save harinless the City of Everelt from any and all claims(or <br /> damages,costs,expenses,or causes of action that may arise <br /> becau;e of installation and maintenance of the improvement <br /> r_ 7 �E / � or olher right-of-way use hereto applied for and further agrees <br /> ��/ to remove same upon notice from the Ciry and lo replace <br /> qppr for�onstr Gtioq Date pu�c pr p rty dama9ed thereby. <br /> »�� /- � -- � ��--__ �I� I � i <br /> _� �-�� - � �- , <br /> r,fNA INSP .CTIO V Date Date <br /> Approved as Constructed Signature of Applicant <br /> WORK AUTHOHIZED BY THIS PERMR MUST dE STARTED WRHIN I80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEiION. THIS PER!'if h1AY F3E UPICELLED�Y THE CiTY UPON ANY STOPPAGE OF VJORK ON TF:IS PROJEC�OVER 90 DAYS UURATION. <br /> ._ . _ . -, , . ,. <br /> _ .,. . . .,. . ,-. _� . <br /> - , . . . . .. . _ . ., <br /> .. .....�r �..... .' �" .'4i <br /> � <br /> *3 <br />� ' <br /> - � �..,.�', <br /> " ' i <br /> �� � � �� , �FE ��; <br /> . <br /> �� , � � ��: � 'r ° . � �� <br /> � <br /> ..:� � � ' �: <br /> I , <br /> _ .., .. <br /> . < < ,.., . . . . . :.- .- <br /> - �;� ; � 'f �� <br />