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PUBLIC WORKS PERMIT <br />Cily of Everett Public Works Department <br />3200 Cedar Street <br />Everelt, WA 98201 <br />(425)257-8810 <br />Dato: 4l15/2010 <br />Public Works Permit #: PW1004-020 <br />Building Permit #; <br />Planning Reference#: <br />Public Works Fee $: $ 1,080.00 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />COMMUNITY TRANSIT <br />7100 HARDESON RD. <br />EVERETT WA 98203 <br />PHONE: 4253563435 PHONE: <br />TAX PARCEL ID # SITE ADDRESS: multiple <br />DESCRIPTION OF PROPOSED WORK: <br />INSTALL BUS CURB BUMPERS <br />INSTALL CURB BUMPERS AT COMMUNITY <br />TRANSIT SWIFT BRT STATIONS <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 liours in advance. <br />2. All work shall be performed fn accordance with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. Traffic control per City of Everett traffic control standards. <br />5. Construct per approved plan 4/19/2010 <br />Date <br />as Constructed <br />Z <br />�� � o <br />r r <br />n��� <br />�X3 � i � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tlie undersigned owner/applicant hereby agrees lo hoid and <br />save harmless Ihe Cily of Everelt (rom anyand all claims for <br />damnges, cosls, expenses, or causes ofaction lhat may arise <br />because of inslallalion and malntenance ofthe improvement <br />or olher riglit•of-way use herelo applied forand fuAher agrees <br />to remove same upon notice Gom ihe Cily and to replace <br />pu �ic p rly damaged ll ereby. <br />C��� �c��a n o�� ��slio <br />Signafure of Applicanl Date <br />WORK AUiHORlZ[D �Y THIS PERP1[T P1UST �E STARTED INITHIN 180 DAYS OF DATE PERMR IS [SSUED AND 7HEREAFTER IS TO BE DIUGENTLY <br />PURSUED TO COPiPLETION. 'TFIIS PERMR h1AY 6E UNCELLED 6Y THE CIfY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECf OVER 90 DAYS DURATIOR <br />