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�� ;u ;: "_�.:! : ;,, Date: <br />PUBLIC WOf�KS PERMIT `�;�;: <br />FUbllc Works Permit #: <br />Ciry of Everett Pub��c. Works De�artment guildinp Permit #; <br />�� s r��� 3200 Ced2r Street��' � <br />Everett, WA 9B201 :;_�� ; Planning Reference �#: <br />(425) 257-8910 „ <br />t,�ir�IDt+ �'���� •�' Public Works Fee �: <br />_ i,RADiN� i445.1ti) nn,e. c. <br />1 0/312 01 2 <br />PW1210-003 <br />� 695.00 <br />il ..=' � . . . <br />OWNER NAME AND ADDRESS: r'�'' " APPLI�ANPNAME AND ADDRESS: <br />PATHFARMERS MARKET PATHFARMERS MARKET <br />PO BOX 13261 P7 BOX 13261 <br />EVERETT WA EVERETT WA <br />PHONE: 4253041000 PHONE: 4253D41000 <br />TAX PARCEL ID # 00439167901900 SITE ADDRESS: 2931 W MARINE VIEW DR <br />DESCRIPTION OF ?P.OPOSED WORK: <br />EXCAVATE SITE, STREET & ALLEY, SHORING-PATH FARMERS MARKET <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 permil and current City of Everett Desiyn and Construclion Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />Per approved plan. <br />Your Public Works Inspector is Randy Allen. Call him at 425-339-7403 for questions and inspections <br />,� <br />INS <br />as <br />� Date <br />Date <br />_ Z -�s <br />W <br />E"� <br />�-I <br />� <br />� <br />� <br />� <br />z <br />0 <br />H <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless lhe City of Everetl from any and all claims for <br />damages, cosls, expenses, or causes of aclion that may arise <br />because ot inslallation and maintenance of the improvement <br />or olher right-of-way use hereto applied for and further agrees <br />to remove ame upon notice from lhe City and to replace <br />public pro�aNy damaged ihereby. <br />/j /� � <br />= ���-���/ /��� z/iv <br />Signature of Applicant Dale <br />INORK AUTIIORIZED 61' THIS PERMIT h7U5T 13E STARTED WIT111N 180 DAYS Of DATE PERFIIT IS ISSUED AND TIIEREAFfER IS TO BE DILIGENTLY <br />�'URSU[D TO COMPLtTIOfJ. THIS PER141T h1AY 6E UNC[LLED �Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />