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� f� .,. <br />�> <br />".: �. Lr�i �t?!P <br />PUBLIC �RKS PERMIT <br />City of Everett Public Works Departmenl <br />3?00 Cedar Street <br />Everetl, WA 98201 <br />(425) 257-8610 <br />• Date: 918I2014 <br />Pubiic Wcrks �ermit #: PW 1409-007 <br />Buildinq Pennit #; C140G-008 <br />Planning Reference #: <br />Public Works Fee $: S 900.00 <br />Other $: <br />OWNER NAME AND ADI�P.cSS: APPLICANT NAME AND ADDRESS: <br />HAACK AARON <br />2620 GR�ND AVE <br />EV[RETT WA 98201 <br />PHONE: 4253594716 PHONE: <br />TAX PARCEL ID # 00439161602000 SITE ADDRESS: 2620 GRAND AV[ A 8 B <br />DESCRIPTION OF PROPOSED WORK: <br />TRAFFIC MITIGATION fOR NEW DUPL[X <br />P[RMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />?. All work shall be periormed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specificalions <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />$900 CREDIT APPLIED POR EXISTING DCMOED SFR TOW1IRD ACTUAL TRAPFIC MITIGATION F[E OP r; <br />5� 8��. I-. `-. F. F-� F-` F-• r r I_. �_' �. 1�. �.'. �' <br />_, <br />t Ir�?)-nSL—�I-:f��V1'?U]G?�-3:�y�+� <br />CJf lt!_ � T Ss �1 11 'f�ll— ��. <br />��� --� S.� —1 uJ �'-' �l R.� i 1�_� Cl <br />ni .--�-." +m rn f'��ic��1_'+ <br />- fTl ..'.• ITl T Zp t-� T ... <br />U l C. f`1 <br />� i ] <br />�pproved for Construclion Dale <br />FINAL INSPECTION Dale <br />Approved as Construcled <br />1V�'.� <br />Y_ <br />L�� <br />a <br />�i <br />`'_? �..T� �s. ar. ... �n <br />-'� �1� �_..w :� �_.i r' s _ %� .r. <br />F_. . .�� <br />n�. n� c, ..:. r� ¢� sc. r., r, ��a r.;_• �� <br />'. i° i �_ o r� c� o di ... _. .. �• � c.r t r� o�• � <br />_ i �.a. �� �> c, m o r.� i�. :_� :i• i:-- r_� .� u ce E� <br />r`_:i (-'! [�. _t �; �_.._, ._ ,_. _ - =� �� _ � 1 cvi ai.'-� <br />O <br />f:. <br />�� <br />�' <br />r-- <br />ACKNOWLEDG[MENT OF GONDITIONS <br />�f he undersigned owncr/applir.anl hercby agrecs to hold and <br />save harmless Ihe Cily of Evcrelt lrom any and all daims tor <br />damages, cosls, expenses, or causes of acUon Ihat may arise <br />because of inslallation and mainlenance of the irnpiovement <br />or other righ4o6way use herelo applicd for and furiher agrces <br />lo remove same upon nolice from Ihe Cdy and lo replacc <br />public proper�y damaged Ihereby. <br />Signalure of Applicanl <br />Date <br />WOHK AUTHDRIIFO NY �HIS PFNhIfi� MUST UE STARTfU WRIIRJ l80 DAYS Of- DA1 E PI:R1411 IS ISSUED AND THFR[�Fl[R IS 10 UE UILIGENTI.Y <br />PURSUI:D TO COFIVL[IlOhl. THI i I'IRh11I� 14AY 6E UtJCGIIED BY TIIP. CIN UPON ANY SiOPPAGf Of WOHN ON i1i15 PNO]tCl OVEN 90 DAYS DURAi10N. <br />�� <br />