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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 />Date: 12/19/2012 <br />Public Works Permit #: PW1212-011 <br />Buildinq Permit #; <br />Planninq Reference #: <br />Public Works Fee $: $266.00 <br />Other S: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />COMCAST JEFF HOLT <br />15k-� 75th ST. S.W. <br />FALL Cl fY WA 98024 <br />PHONE: 2537973620 <br />PHONE: 4258641390 — <br />TAX PARCEL ID # SITE ADDRESS: 632.5 POLK PL. <br />DESCRIPTION OF PROPOSED WORK: <br />DIRECTIONAL BORING <br />(12/19/2012 2:35 PM BES) <br />DIRECTIONAL BORING APPROXIMATELY 206 FT. TO REPLACE PAD SECTION OF CABLE <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />in accordance with the permit and current City of Everett Design and Construction Standards <br />2. All work shall be performed <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />-Tl <br />C <br />h <br />4. Any damage sidewalk, driveway should be replaced per city of everett standards. <br />— ^i <br />5. All traffic control shall be per MUTCD standard. <br />6. contact city of everett inspector Randy Allen <br />o <br />F <br />425-339-7403 prior to starting construction. <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant 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 thereby. <br />gn u 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 />01 IDCI ICn Tn rnMDI CTInN TUTC DCDMI AIAV OC rwrCI 1 Cn Dv TI r�TV nnnnl A,.lv rT nn(.rr nr loin,- n., Tmr nnn.�-•+n•u-n nn nw. n, •• •+-n• <br />