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y �UBLIC �ORKS PERMIT Date. 4/1/2014 <br /> Public Works Permit #: PW1404-003 <br /> City of Everett Public Works Departmenl <br /> „�. 3200 Cedar Slreet Eluildinp Permit #; <br /> C� �'`j'�$� Everett, WA 98201 Planring Reference #: SD'A#12-004 <br /> ��� (425) 257-8810 <br /> Put�ic Works Fee $: $ 220.00 <br /> Olher $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PORT OF EVERETT PORT OF EVERETf <br /> PO BOX 538 PO BOX 538 <br /> EVERETT WA 98206 EVERETT �NA 98206 <br /> PHONE: 4253880613 PHONE: 4253880613 <br /> 1'AX PARCEL ID# SITE ADDRESS: 501 E MARINE VIEW DR <br /> DESCRIPTION OF PROPOSED WORK: <br /> GAS LINE EXTENSION <br /> PERMIT �ONDITIONS <br /> 1. All cal�s for inspection shall be made 24 hours in advance. <br /> 2. All woik shall be performed in accordance with the permit and current City of Everett Design and Construction Standards <br /> and SFecifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Per plan <br /> Your Public Works Inspector is Randy Allen. Call 47.5-339-7403 for any questions andlor inspections. F <br /> � <br /> � <br /> � <br /> i"� <br /> � � U �� Q <br /> APR 1 5 Z014 � E'' <br /> � <br /> O <br /> ci�rv or ��vi��zi: rr a., <br /> �'cnriit sciti�iccs <br /> ACKNOWLEDGEMEN7' OF CONDITIONS <br /> The undersigned ownedapplicanl hereby agrees lo hold and <br /> savc harmless Ihe City o(Everetl(rom any and all claims(or <br /> damages,cosls, ezpenses, or causes of aclion Ihat may arise <br /> /�� because o(installalion and mainlenance ol Ihc improvernent <br /> y/r� _ � or othcr right-o6way use hercto appiied(or and lurther agrees <br /> ��� lo remove same upon notice (rom the Cily and to replace <br /> Approved for Construclion Date public property damaged Ihereby. <br /> FINl1LINSPECTION Dale ��''����— `���5—�y �11� -�p <br /> � <br /> Appfoved as ConSttuCted Signalure of Applicant Dale � <br /> �p�{ 0 <br /> WORK AUTHORIZED BY TIIIS P[R141T 14UST l3E STARTED WITHIN IBO DAYS OF DAiE PFRMIT IS ISSUED AND"(HFREAFTER IS TO Rf DILIGEPfT1.Y q <br /> PURSUCD 10 COMPLE�ION. THIS PERMIT MAY BE UNCELLFD HY 1HF.CfIY UPON AtJY STOPPAGE OF WORK ON TIIIS PRO)ECT OVER 9D DAYS DURATION� <br /> tile � ��� <br />