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r '� <br /> PUBLIC WORKS Date 12/24/2002 / <br /> Public Waks Pertnil M pN0212-036 <br /> PERM 1 T Duilding Permi�N <br /> PUBLIC WORKS DEPARTMENT Planning Reterence a <br /> 3200 Cedar Street <br /> Evemn.WA 98207 PWlic Works Fee S <br /> (a25)257-8010 $�S. 00 <br /> Guaranlee 5 <br /> OR'N[R NAME APPLICANi NAME <br /> ANDADDRGSS Providence Hospital ANDADDR[SS' V@L120T1 StructureQ Cable <br /> 1321 Colby ave 2312 West Casino Rd <br /> Everett wa 98201 Everett Ma 98204 <br /> PHONE PHONE�. <br /> �252611362 4255130968 <br /> TA%PARCELID • PROJECTADDRE55: <br /> D65CRIPTION OP <br /> PROPOSEO WORK. IT1SC.a11 one 2" PVC Conduit across alley and behind <br /> sidewalk <br /> Conduit will run Erom existing Har►d Hole located at <br /> PERMITCONDI7T�S1f1C �ve <br /> 1. All calls ior inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be pertormed in accordance with this pern it and current City of Eveiett Design and Construclion <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42l-5555 � <br /> •1. Restore Alley Per City of Everett Standard � 316 � <br /> 5. Ptovide Traffic contrul per the MUTCD and as directed by the Public ,A <br /> Works Inspector. wM� <br /> W <br /> O <br /> +J. .' � <br /> �C . . <br /> � <br /> O <br /> N <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 4 Thr urwersigned owner/applicant hcroby agrr.es to hdd end <br /> ,y���9pti-I�'Y � a� l., save harmless the Ciry o1 Evcred from any arM all clalms tor <br /> p��ruv ,oi c sim<t/ Da� damages,costs,eKpenses,or causes o1 aclion that may anse <br /> ^ because ol installation and maintenance o1 the imprwemeM or <br /> ��� other righbol-way use heieto applied lor and further agrees to <br /> '� � 7 —f�'� remove same upon no e trom ihe City and to replace pWlic <br /> PINAL INSPEGTIOtJ propertyAdamag�d t by. <br /> qpprwe�as Con;lv�led Da�e ,�/j// //t�� —/9 � / �Z <br /> -1' l. Ylq/li� __ L y ____ _ <br /> Signalwe ol R�I�cant Date <br /> WOnv,qU1HOR¢ED tdv n�i�,��t n�pii Mu�,7 HC ',inHi(.D wITHI!d t80 DnVS OF OhTE PERMIT IS ISSUF.O AND TNERE�FTER IS 70 BE DILIGFNTI Y PURSUE� <br /> TO(,OidPLf.TION TN6 Pf P�dil 1AM1Y 5f C�t1t,[I11 D HV 7ME. QTV UPON APiY STOPPRGE OF WORN ON 7HI5 PROJECT OVER 90 DI1V5 DUR/1TION. <br />