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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />OWNER NAME AND ADDRESS: <br />DEANNA VALENTO <br />3030 HOYT AVE <br />EVERETT WA 98201 <br />PHONE: 4252386609 <br />Date: 9/23/2013 <br />Public Works Permit #: PW 1309-020 <br />Buildinq Permit#; <br />Planninq Reference #: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />VINCENT CONWELL <br />NORTHWEST CONCRETE <br />PHONE: 4258649225 <br />TAX PARCEL ID # I SITE ADDRESS: 3030 HOYT AVE i <br />DESCRIPTION OF PROPOSED WORK: <br />REPAIR SIDEWALK <br />(9/23/2013 2:31 PM BES) <br />REPAIR 10'X14' SIDEWALK <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 <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />Standards <br />4. Repair sidewalk per City of Everett standar #306. <br />5. Put construction signs and cones around the contruction site to make pedestrians aware of construction. <br />6. Contact City of Everett inspector Randy Allen 425-339-7403 prior to starting construction. <br />C0 F:1 59 <br />;�71 <br />o <br />►.+ <br />�-' <br />�z <br />N <br />OLL <br />_ (]� <br />EAON <br />i C� <br />cdo <br />LI <br />t0 <br />F� <br />9 ZY13 <br />PINAL <br />fo Con n Date <br />7 <br />S CT N Date <br />Approved as Constructed <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and ail 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 me upon notice from the City and to replace <br />public pr erty damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 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 />