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PIJBLIC WOCZi(S PERMIT Date: 7/23I20i0 <br /> �4 Publie Works Permit # PW1007-014 <br /> City o� Everett Public Works Department <br /> ,c 3200 Cedar Straet Buildinq Permit #. <br /> ��-:..,�.-,�� <br /> �� ' -•� - Everett, WA Sd20t Planninp Reference# <br /> {�125; 25/-8810 <br /> Public Works Fee 5 S 45 00 <br /> Other 5 <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PETERSEN GARY OWNER <br /> 2525 79TH AVE SE <br /> EVERETT WA 98205 <br /> PHONE. -??55010000 PHONE: <br /> TAX PARCEL IC�: 00576002200001 SITE ADDRESS: 2112 37TH ST <br /> DESCRIPTiON OF PROPOSED WORK: <br /> PAVE PARKING LOT <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 permn and current Gty oi Ever�;t Des�an and ConsUuctwn Stan;lards <br /> and Specrficabons <br /> 3 Call Locatien Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 � � <br /> � I <br /> 4 Keep roadways ctean oi all debris, dirt and rocks „ <br /> G" ..'- <br /> 5 TraHic control per current MUTCD Standards �, � • _ <br /> 6. Landscaping is required if more than one parking space is paved � ",y <br /> �J�� ,- Va <br /> S S O <br /> Your mspector �s Randy Allen, 425-339-7403 � r � � <br /> � �0 <br /> F- �Q� <br /> I <br /> � r�.� ' <br /> r� <br /> c <br /> � � <br /> �� n <br /> N, �w:� v_ <br /> L' t' V� <br /> Ln O L1 <br /> .,po iQ <br /> 0 o c��` r�l <br /> -a t <br /> � � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapphcanl hereby agrees to hold and <br /> save harmless ihe City of EvereU from any and all claims for <br /> damages, costs, expenses, or causes ni aclion thal may anse <br /> because o(�nstallation and maintenance of lhe improvement <br /> �;��7(""" G!��""" ".� �'2/f`�� or o�her righ�-of-way use herelo applied (or and furiher agrees <br /> � to remove same upon notice from the City and lo replace <br /> Approved for Construction Dale public properly damag� thereby. <br /> FINAL INSPECTION Date � �O <br /> Approved as Constructed Sig ature of Applicant Date <br /> WOHK AUTHORIZED BV THIS PERMIT MUST BE S7ARTED WITHIN 180 DAYS OF DATE P[RMR IS ISSUED ANC THEREAF7ER IS TO BE DILIGENTIY <br /> PURSUED TO COMPLFf10N. THIS PERMR h1AY 9E CANCEILEG BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECi OVER 90 DAYS DURAT70N. <br />