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PUBLIC WORI(S PERMIT Date: t0128/2014 � <br /> �< Public Works Permit tt: PW 1410-026 <br /> City of[verett Public Works Department <br /> ,.� 3200 Cedar Street Building Permit t#; <br /> �.,,�..�5i?� <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee $: 5 240.00 <br /> Other $: <br /> OWNER NAME AND ADGRESS: APPLICANT NAME AND ADDRESS: <br /> EVER[TT CITY OF <br /> 3002 WETMORE AVE <br /> EVERETT WA 98201 <br /> PHONE: PHONE: <br /> TAX PARCEL ID p 28040300400100 SITE ADDRESS: LOT 9 ACCESS ROAD <br /> DESCRIPTION OF PROPOSED WORK: <br /> LOT 9 ACCESS ROAD-BOEING <br /> I <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 permit and arrent City ot 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. Per pian. -.: <br /> rf, G1 <br /> Your Public Works Inspector is Randy Allen. Ca11425339•7403 for any questions and/or inspection5''�l '-� '`�� "�" .�W <br /> -�-.,-., , <br /> =� • („i <br /> iireF�' � <br /> T-� _�c.� i7 F� <br /> . �"i'n�-i i-� (n <br /> l'l��-C-] t� <br /> r� �Tl �O <br /> ] <br /> I �~' I <br /> r� � <br /> f�� �:Z <br /> "' ;;� <br /> .G .t. - <br /> 1��� ri�;i�� ,� <br /> .-'C::':-'.-' �� <br /> Description C Q Amount �:G�;�� �;:� <br /> �;; =0 <br /> [ROSIOWCOWTROLPLANS�COP4h1ERCIAl11N�UST 20�.OD a <br /> �.� <br /> F'�•lP14FIH�VIEIY(FSl) � � 20.00 <br /> P�'/SIi E II�SPECTIOtJ([5T) tG.00 <br /> ACKNOWL[OGEMENT OF CONDITIONS <br /> The undcrsigned owner/applicant hcreby agrees to hold and <br /> save harmless�he Cily o(Everel�(rom any and all claims for <br /> damages,costs,expenses, or causes of adion that may arise <br /> _ / because of inslallalion and maintenanm of the improvement <br /> j _/U�_��/ or other righl-of-way use hereto applied for and/uAher agrees <br /> � l fo remove same upon nolice from�he City and to replace <br /> ppro fo Con lructi Date / public perty damaged Ihereby. <br /> �..,� z-�'lS � 4 �I <br /> FI AL INSPEC N Date <br /> Approved as Construcled Sig lure of A Iicanl Date <br /> WORK AUTHORIZED UY T111S PERMR h1USf 8[STAR7ED WCfHIN 180 DAYS OF DATE PERMff IS 155UE ANDTHEREAF�LR IS TO BE DILIGENTLY <br /> PURSUED TO COMNlET10N. THIS PERMR h1AY BE U+NCELLED BY THE CTTY UPON ANY STO�PAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />