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• � • PUBLIC WORKS Date 3/1/2001 I <br /> PERMIT PublicWOAcsPermilN py7iS103-001 <br /> ; <br /> BuildingPermitN �C0102-023 <br /> PUBIIC WORKS C�PARTMENT Planning Refc nce M <br /> 320o CeOar Sheet <br /> Everett,WA 90207 Public rks Fee$ $0. 00 <br /> (425)257-8810 <br /> G rantee S <br /> A�NDNADDR SS:CARLSON JAMES APPLICRNTNRM� <br /> ANDADDRESS: CA SON J11ME5 <br /> M201 15414 SMOKEY PT BLVD ! O1 15414 SMOKEY PT BLVD <br /> MARYSVILLE WA 98271 4ARYSVILLE WA 98271 <br /> PHONE�. t4ZS�32•�-4246 PHONE: <br /> ( 425)327-4246 <br /> TA%PARCELL�.� OD497100003100 PROJEC ADDFESS: SOZ WAVERLY-�-�v� <br /> PROPOSEDWOFN�. I]'ISt811 Sidewalk Be$ind e 'sting rurb <br /> PW <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 ho s in advance•phone(425)257-8810 <br /> 2. All work shall be perlormed in accordanc ith Ihis permit and currenl City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Loca�ion Underground Service 48 rs. before you dig. TOLL fREE HUMBER 1-800-124•5555 <br /> 4 . Install sidewalk pe city of Everett standard 306. (copy attaclted) W <br /> 5 . Ca11 for inc:pecY,io after forms are set and before pouring concrete. � <br /> v/ <br /> � <br /> � \ Z <br /> � O <br /> _ � J,P'� H <br /> � �S (1) <br /> �� O <br /> � a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Thc undcrsigned owner/applicanl bereby agrees tc hold and <br /> '�� 1 <br /> save harmless ihe Ci1y ol Everen irom any and all claims br <br /> n ,mvea ior Construceon n� damages,costs,expenses,or causes ol action that may arise <br /> because ol installation and maintenance ol�he imprrnement oi <br /> other righ4ol-way use herclo applied lor and luqher agmes to <br /> remove same upon notice from the City and to rnplace public <br /> FlNAL INSPECTION property damaged thereby. <br /> Mp�ovetl as Conslmcletl Dale <br /> Signature ol A�I¢aN �a�e <br /> WORK Ai 1TNOR12FD�V THIS PERMIT MUST 8E SiARTED WITHIN 180 DAVS Of DATC PERMIT IS ISSUED AND TMEREAFTER IS TO BE DILIGENTI.V PURSUED <br /> TO CO�dPLETION iH15 PGRMIT MAY OF CANCELLEO�V 7H[CI7V UPON ANV STOPPAGE OF WORN ON TNIS PROJECT OVEP 90 DAYS DURATION. <br />