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PUBLIC WORKS PERMIT <br /> City of Everett Public Works Department Date: 5/27/2016 <br /> Public Works Permit#: PW1605-032 <br /> "P/4400%7-. <br /> TT 3200 Cedar Street Parent Permit#: <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> MEDAL ANGELA D <br /> 2604 BAKER AVE <br /> EVERETT WA 98201 <br /> PHONE: 4259710170 PHONE: <br /> TAX PARCEL ID# 00437860402700 SITE ADDRESS: 2604 BAKER AVE <br /> Construct Fence In Baker Ave Right of Way <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 for Development. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 cT; <br /> 4. The permittee, successors or assigns, agree and shall be responsible to remove said ;t. )F E' <br /> fence at their sole expense should the City require access to the enclosed right-of-way ' <br /> IJP ", <br /> for municipal purposes. <br /> 5. 42" maximum height and maximum 70% solid per Planning requirements. <br /> C'l i <br /> 6. For inspections contact your Public Works Inspector Randy Allen at 425-339-74034J4) : O <br /> Public Works Permit Fee Breakdown: t�t <br /> $25.00 Minor Permit Z <br /> r _c, r,a <br /> T1 Co —0r•''l <br /> —4r 7L r <br /> L*, <br /> h-•CO <br /> Cir <br /> O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> City of Everett from any and all claims for damages,costs,expenses,or <br /> c 6 iL_ " 7 -1 Z-, causes of action that may arise because of installation and maintenance of the <br /> A ved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> App remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date 1 ,1 (5-0/21/Z-V <br /> Approved as Constructed Signa .' •.pli ant Da <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE P RMIT 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 />