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� <br />PUBLIC WORKS <br />PERMIT <br />PU�LIC WORKS DEPARTPAENT <br />3200 Ced�r Street <br />Everetl, WA98201 <br />(A25) 257-BB70 <br />Date <br />Pu61ic Works Pertnit a <br />Building Permit # <br />Pianning Reference M <br />Public Works Fee 5 <br />Guarantee S <br />6/21/2009 � <br />Pq0406-020 <br />G585.00 <br />OWNER IJAME' APPLICANT NAME <br />ANDADDRESS: Pujet SOIIR�i Eneegy ANDA�DRESS: ELd1Ite Babby <br />PO Bo:c 90�68 MS XRDIG <br />BELLEVUE W: 98009 <br />FrioNe 9259623805 Pi{o"E' 2066993607 J..�G -�G�l - 3�6:� <br />TAY PARCEL I.O. M <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PROJECTADDFESS: <br />I �910 35th Ave NE <br />Replace approx. 550' of 6" gas main fi nevi cegulato� station <br />PERMIT CONDITIONS <br />1. All calls (or inspectinn shall be made 24 hours in advance - phone (425) 257-881p <br />2. All work shall be performed in accordance with this permit and current Gity o( Evereti Design and Construction <br />Standards and Specilications. <br />3. Call Localion Underground Service 48 hrs, before you dig. TOLL FREE NUMBER 1-806-424-5555 <br />9. As pec appc:�ved plan dated 6-16-09. <br />5. Pcovide (additional) eeo:,ion cuntcol as dicected by the public wrks inspectoc in <br />the field. <br />6. Reep city streets clean at all times during construction. <br />7. Une ].ane of teaffic �hall cemain open at all timea ducing constcuction. Traff�c <br />contral shall be pcovided as pec city of Everett standard plans. No backups shall <br />exceed 10 minutes and nevec alloved to backup onto the statp highuay. <br />9. PavPJnent patching shall be as per city of EvErett standard plan N316. <br />9. Applicant shall conficm all envieonmental cegulations have been met. <br />10. Applicant shall protect city utili.ti�s from damage during construction. <br />JIF;r:� _ <br />� �.'1?A- -.... <br />ACKNOWLFDGEMENT OF CONDITIONS <br />W <br />� <br />V+ <br />W <br />O <br />� <br />The undersigned ownedapplicant hereby agrees to hold antl <br />save harmless the City of Evermt from any and all claims lor <br />Aamages, costs, expenses, or causes oi action th�t m�y arisr. <br />beca�se of installalion and maimenance ol the imprcvem�m or <br />other right-ot�way use hereto applied for and further agrees to <br />remov— (`�upon notice irom the City and to replace public <br />pmqe tlam ged ther�by. e � <br />� . (j. <br />�/I/ ` a L� � / <br />Sipnalure of Applicanl � Date <br />✓ <br />WORK AIITHORIZED BV THIS PERh11T 1.1UST BE STARTED WITHIN 180 �AVS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY B[ CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />