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a <br />!s�'�'2l �i <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Slreet <br />Everett, WA 98201 <br />(425)257-8610 <br />Date: 05/22I2009 <br />Public Works Permit #: PW0905-023 <br />Buildinp Permit #; <br />Pianninp Reference #: <br />Pubiic Works Fee $: $ 25.00 <br />Other S: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />OLSON MARK G <br />801 RUCKER AVE <br />EVERETf WA 98201 <br />PHONE: 4�57504847 PHONE: <br />TA% PARCEL ID # 00458816900100 SITE ADDRESS: 801 RUCKER AVE <br />DESCRIPTION OF PROPOSED WORK: <br />SIDEWALK REPLACEMENT AT DRIVEWAY <br />PERMIT CONDITIONS <br />1.All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be p_rtormed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Speci(icalions. <br />3. Call Location Underground Service 48 lirs be(ore you dig. TOLL FREE NUMBER 811 � <br />4. Replacement to be done per Design and Construction Manual. <br />w <br />F <br />� <br />� <br />m <br />O <br />� <br />z <br />0 <br />F <br />� <br />O <br />a. <br />ACKN01h'LEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees �o hold and <br />save harmless lhe City of Everett (rom any and all claims (or <br />damages, cosis, exp^nses, or causes of action lhat may arise <br />because of installation and maintenance of the improvement <br />or other right-o6way use hereto applied lor and further agrees <br />to re�noJe ame upon noti e from ihe City and to replace <br />publicp�o�ert dama ��1�el� <br />�" (., ��� /��.���� t � " � ; ', , `7 <br />Signalure of Applicanl <br />Date <br />lt'ORK AUTHORIZED 6Y THIS PERPIIT MUST UE STARTED \VITHIN I80 DAYS OF DATE PERMR IS ISSUED AND THEREAF�'ER IS TO HE DILIGENTLY <br />PURSUGD TO COhiPLE1lON, THIS PERPIIT h1AY U[ UNCELLED 6Y THE CIlY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9:1 DAYS DURATION. <br />