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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />� 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />Public Works Pertnit #: <br />Buildinp Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />OWNER NadE AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />SNOHOMISH COUNTY PUD VNLL BLANCHARD <br />1802-75th STREET S.W. 1802-75th STREET S.W. <br />EVERETT WA 98203 EVERETT WA 98203 <br />PHONE: 4257834303 PHONE: 4257834303 <br />TNC PARCEL ID # SITE ADDRESS: 1707 SCENIC DRIVE <br />DESCRIPTION OF PROPOSED WORK: <br />DEMOLITION AND RFMOVAL OF CONCRETE <br />(11/1612011 1:18 PM BES) <br />DEMOLITION AND REMOVAL OF CONCRETE AND MINOR GRADIIJG <br />11/16/2011 <br />PW1111-016 <br />$ 245.00 <br />PERMIT CONDITIOPIS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with the parmit 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 871 � <br />4. CONSTRUCT PER APPROVED PLAN. <br />���� <br />DEC 0 2 Z011 D <br />CI'1'Y Ol� l?VL•:RLTT <br />P�n,u� s�rvi��5 <br />� <br />�1 <br />� <br />� <br />� <br />� <br />z <br />0 <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of adion that may erise <br />because of installation and maintenance ot the improvement <br />or olher right•of-way use hereto applfed for and fuAher egrees <br />to remove same upon notice hom the City and to replace <br />public prope � ag d 1 ereby. <br />1 � X ��/��� <br />Signature of Applicanl Dete <br />WORK AUTHORIZED BY 1H15 PERMIT MU�T BE STARTED WITHIN I80 DAYS OF DATE PERMR IS tSSUEO pN0 iHEREAFTER IS TO BE DILIGENTLY <br />F+URSUED TO COMPLETION. THIS PERMff MAY BE CANCELLED BY lHE CffY UPON ANY STOPPAGE Of WORK ON iN15 PROIECT OVER 90 DAYS WRATIOK <br />