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PUBLIC 1'( )RKS PERMIT <br />City of Everett Public Works Department <br />�, � 3200 Cedar Street <br />�`— "`� Everett, WA 98201 <br />��`�" (425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />SNOHOMISH CG PUD <br />PO BOX 1107 <br />EVERETT WA 98206 <br />PHONE: 4257835690 <br />AX PARCEL ID N <br />DESCRIPTION OF PROPOSED WORK: <br />REPLACE ANTENNAS ON EXISTING POLE - CLEARWIRE <br />Date: <br />Public �., orks Permit #: <br />Buildinp Permit #: <br />Planninp Reference #: <br />Public Works Fee $: <br />Other S: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 6515 MORGAN RD <br />5120/2009 � <br />PW0905-020 <br />60905-024 <br />$ 45.00 <br />PERMIT CC VDITIONS <br />1. All calis for inspection shall be made 24 hours in advance. <br />2. All work shall �e periormed in accordanoe with the permit and current City ot Everett Design and Construclion Slandards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 <br />4. Traffic control per current MUTCD Standards. <br />5. All restoration lo be completed within lwo weeks. W <br />6.Noti(y neighbors 72 hours pricr lo commencing any work. F <br />YOUR INSP[CTOR, RANDY ALLEN CAN BE REACHED ON HIS CELL PHONE 425-339-7403 . <br />� <br />ACKNOWLEDGEMENT OF COlJDITIONS <br />7he undersigned ownedapplicant hereby agrees lo hold and <br />save harmiess Qie City of EvereU Frm any and all claims for <br />damages, cosls, expenses, or causes of action Ihat may anse <br />because of inslallation and maintenance o( Ihe improvement <br />or other right-of-way use hereto applied for and furlher ayrees <br />lo remove same upon notice from Ihe City and �o replace <br />public property�derti�ged Ihereby. <br />WORK AUTHORIZED PY 1HI5 PERh11T h1UST OE STARTED \YITHW 1S0 DAYS OF DA <br />PURSUED TO COP1PLCf70N. THIS PERI•11T DtAY BE CANCELL[D BY THE CITY UPON <br />il/o <br />of Applicant Date <br />' 15 SU[D AND THEREAFfEF IS TO BE DILIGEP� fLY <br />GE OF \1'ORK ON THIS PROJECT OVER 90 DAlS DURATION. <br />