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PUBLIC WORKS PERMIT Date: 7/28/2008 � i <br /> Public Works Pertnit#: PW0807-023 <br /> City of Everett Public Works Department <br /> �, 3200 Cedar Street Buildinp Permit#; <br /> Everett,WA 98201 Planninq Reference#: <br /> (425)257-8810 <br /> Public Works Fee 3: $ 50.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESB: <br /> BULLINGER JOHN ECLIPSE ENGINEERING <br /> 1604 HEWITT AVE 1150 INDUSTRY DR <br /> EVERETT WA 98201 TUKWIUI WA 98188 <br /> PHONE: 4252525400 PHONE: <br /> TAX PARCEL ID M SITE ADDRESS: 1604 HEWITT AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> FROM POLE REPAIR 160' OF EXISTING CONDUIT 8 CABLE <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 Evereri Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Give all neighboring businesses 72 hours notice prior to work <br /> 5. Permanent asphalt repair to be completed within iwo weeks after trenching � w <br /> FOR PUBLIC WORKS INSPECTIONS CALL RANDY ALLEN AT 425-339-7403 'f" � � � <br /> C7=r� � Vj <br /> � �s� � � <br /> � �� <br /> O �''�,`' � ti <br /> U� ~ �-. <br /> � 0 <br /> O �M� �MJ�N1,] <br /> OC.�"�p'1 p'1 <br /> 006p � •� <br /> ti r <br /> � <br /> ��L•1 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City ot Everetl(rom any and all claims tor <br /> damages,costs,expenses,or causes of adion that may arise <br /> � because oi inslallation and maintenance of ihe improvement <br /> ,, '//� 7 or other right-of•way use hereto applied for and further agreea <br /> � ��� ' 'y �� C�`�� to remove same upon nolice(rom the City and to replace <br /> Appr d r Cqnstructi Dat publ' property damaged thereby. <br /> � �� - �� /—� � �� � 7�Z�i�4� <br /> FINA INSP TION Date — <br /> Approved as Constructed Signature af Appiicant Date <br /> WORK AUTHORIZED 8Y THIS PERMR MUST BE STARTED WITFiIN 180 DAYS OP DATE PERMR IS ISSUED AND THEREAFTEIi IS TO BE DiLIGENTLY <br /> PURSUED TO COP1PLEf10N. THIS PERPIR MAY BE CANCELLED BY THE CIiY UPON ANY STOPPAGE OF WORK ON THIS PRO7ECT OVER 90 DAVS DURAT[ON. <br />