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u- <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />Date: 11 /30/2009 <br />Public Works Permit #: PW0911-033 <br />Buildinq Permit #: <br />Planninq Reference #: <br />Public Works Fee $: $ 150.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: /� <br />CITY OF EVERETT/LIBRARY ANDERSON JEREMY I Ia ck- v14c k <br />3200 CEDAR ST <br />EVERETT WA 98201 <br />PHONE: PHONE: 4253190216 <br />TAX PARCEL ID # 00439162302800 SITE ADDRESS 2702 HOYT AVE <br />DESCRIPTION OF PROPOSED WORK <br />BORING FOR CONDUIT ON CALIFORNIA ST ABOUT 150' <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 Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. Kerep pedestrian walkways open at all times W <br />5. Keep maximum separation between existing <br />6. Exisiting sewer main in alley between Colby & Hoyt <br />Call Public Works Inspector, Randy Allen at 425-339-7403, with questions and for final inspection q <br />Z <br />E" <br />t!: <br />a <br />i <br />Apr r onstru 'ap Date <br />FINAL INSPFJZTION Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/appiicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged lh"by. <br />Signature of Applicant Dale <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 160 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />