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PUBLIC WORKS PERMIT Date: 5I19I2009 <br /> i <br /> Public Works Permit#: PW0905-018 <br /> Ciry of EvereU Public Works Department <br /> � 3200 Cedar Street Buildinq Permit#; 80905-027 <br /> � Everett, WA 98201 Planninp Reference#: <br /> (425)257-8810 <br /> Public Works Fee S: 5 1,179.88 <br /> Other S: <br /> OWNER NAM1=AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> CITY OF EVERETT <br /> 3200 CEDAR ST <br /> E\�ERETT WA 98201 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 00439074401300 SITE ADDRESS: 3313 SMITH AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> BUS BAYS & BRT SHELTERS AT EVERETT STATION <br /> 4 BUS BAYSl2 BRT SHELTERS <br /> PERMIT CONDITIONS <br /> 1. All calls (or inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be per(ormed in accordance wilh lhe permil and current City of Everell Design and Consiruction Slandards <br /> and Spccificalions. <br /> 3. Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Civil work�o be done per approved plan daled 6-3-09. � <br /> 5. Keep Cily e!reet clean at all times. � <br /> YOUR INSP[CTOR IS RAND`f ALLEN 425-339-7403 � <br /> � <br /> ^� <br /> Q <br /> � <br /> � <br /> 'L <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicanl hereby agrees to hold and <br /> save harmless the City of Everett fwm any and all claims(or <br /> damages, cosls, expenses, or causes of aclion that may arise <br /> because of inslallation and maintenance of the improvement <br /> or olher right-of-�vay use hereto applied for and further agrees <br /> - � to remove same upon notice from the City and to replace <br /> App�ov.ed o� �onsUu . io � Date pubhcpropertydamagedthereby. <br /> f �i/ � ��'� I ^ I7�I� <br /> f=1NAL INSPE ION Dale <br /> Approved as Conslructed SignaWre of Applicant Oate <br /> �;:�.��I�.h;AUTHORI:ED GY 11115 PERPIIT-PIUST 6F STAFT[D 1'11TIIIN 1&0 Dr1Y'S Of UAT[PERMIT IS ISSUED AND TNEREAFfER IS TO��DILIGENTLY <br /> I�UI::;UED 10 COIQP�E170N. T�HIS P[RP11T IdN' 9E G1NC[LL[D GY 1 HE Clll'UPON ANY STOPPAGE OF IVORK ON THIS PRO)ER OVER 90 DAYS DUFtAT10N. <br /> Z�L <br />