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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME 7APPLICANT <br />AND ADDRESS: - - ,AND ADORE <br />PHONE: <br />PHONE: <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee 5 <br />Guarantee S <br />TO POSTINGjt;:::...................:.::... <br />TAX PARCEL I.D.# _ PROJECT ADDRESS: -- <br />DESCRIPTION OF NET-, <br />PROPOSEDWORK: - <br />PERMIT CONDITIONS Lc - <br />ADPT7 <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />Connect ids :--we r per <br />('nnnn- i' 1Own S_'=.,-_. t:) the Side sewer. <br />6. 1ns1:111 :'.1 cnntroi mca*ures as determined by the Public Works inspe:ror., eucil <br />::a It i e n <, °;tc s•,: bales, swsl-s or erosion blankets. <br />-7, Fc.�rr7e eLCOL:i: -ontUo! m23sures upon completion of the proje:t prior to final <br />approval of the permit. <br />8. All eXC3vatcd material ire:;m inundation, sidewalk and driveways ehall be haule(: <br />an approvr_d, permit'-ed .ir:e. No waiting of material is allowed on this building -: <br />9. No dirt, mud, rvC;.- of debris to be tr-I'ked onto roac:way. <br />10. Nc b:ilding materials to b« stacked on sidewalks and sidewalks to be kept clear. <br />and open fc_ pedast.rian travel. <br />11, Adjust water meter box. 1" above sidewalk grade. <br />12. Pave driveway from the property line out to the alley paving. <br />PUBLIC WORKS INSPEr_TC;R: RXNDY ALLEN 425-339-7403 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use herel; applied for and further agrees to <br />remove same upon notice from th ity and to replace public <br />nda ed the y��y. <br />�3 0� <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />EPWP (7mB) <br />DATABAR. INC. <br />