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PUBLIC WORKS PERMIT Date <br />"� Pubhc Works Pernnt t! <br />�� i C�ly of Everett Public Works Department <br />6'^� �' 3200 Cedar Street Buildmq Permit #. <br />.�� `F� Everett, WA 9820t Plann�nq Reference# <br />(425) 25 /-BA t 0 <br />Pubhc Works Fee $ <br />Other � <br />OWNER NAME AND ADDR[SS�. I APPLICANT NAME AND ADDRESS: <br />Jeff Gray <br />PO Oox 71G <br />f_vere't Wa 9820G <br />PHONE: 425A221688 <br />4X PARCEL ID k <br />DESCRIPTION OF PROPOSED WORK: <br />SIDE SEVdER CONNECTION <br />(2�5/2013 9 E4 AM DES) <br />NEEDS TO EXTEND SEWER STUB <br />DYNAS iY HOLDWGS <br />SAMF <br />PHONE 4255084380 <br />SI7E ADDRESS: 1?06 112th ST J W <br />2/52D 13 <br />PW 1.102-002 <br />5 25 00 <br />PErtMIT CONDITIONS <br />1 A!I catls for inspeclion shall be made 24 hours �n advance <br />2 All work shall be periormed in accordance with the permd and cwren� City o( Everett Design and Constructio�i Standards <br />and Speohca!ions <br />3 Call Locatwn Underground Service 48 hrs before you d�g TOLL FREE NUMBER 811 � <br />4 NEED TO PUT TRAFFIC CONTROL PER CITY OF EVERFTT STl1NDARD #7G1D <br />5 PUT CONSTFUCTION SIGNS NORTHBOUND AND SUUTHdOUND ON EVERGHEEN WAY BEfOR[ 112TJI <br />sTsw <br />6 RESTORE THE PAV[MENT PER CITY OF E`/ERETT STANDARD DRAWING #31G �� �;' � <br />7 MAKF SURE TO OE3TAIN THE NEC[SSARY �[RMIT FROM MUKILTEO WATER DISTRICT FGR THE : <br />SEW[R nND SNOHIMISH COUNTY <br />H NO CONSTRUCTION E�ETWLEN 3 00 P M TO 6 00 P M �- <br />9 CONTACT CITY OF FV[Rf=TT INSPECTOR CLIFf t INDIJIAN (4,^5�339-%�04 PROIR T(� STARTING WORK � <br />FINAL INSPECTION <br />Aooroved as Gonslructed <br />/J�, 7�� <br />�le � <br />Oalc <br />nchr�crn�i � uc;r_r,^�rvt or r.uNui � ic�Ns <br />IhN ucrlersiyned mvnerlapphcant hereby agreos lu ho�d an;l <br />s.nc harmless Ihe Cdy ol Fverell lrom any and all cl��nc�, fnr <br />d;miagcs, r.os�s, e�penses, or causes uf aclion thal may a��se <br />because o1 installahon . nd mamlenance of Ihe �mpwvc�n�nt <br />or o�hcr nghbof-wa use hereto appl�cA for anA lurther agre� ; <br />w re_�ov^ sam a pon obce Irom �he (:ity and to ie�>la�n <br />{fiiblic proq ama d iheieby <br />sigr�iWrc or nppt¢ant <br />Oate <br />WORK AU7HORIIEU DY?t!IS PtRI•1R MUST O[ STARTCD WRHIW IAO D4YSOf DA?F. PENMR IS IStiUfD AYI7 IhERtAFTFR IS TO flC DILIidNiLY <br />PURiUED TO COMPI [T��N TNIS PERPIIT M�V OE CANCEILCU BY THf CIIV .r'ON ANY STOV�AGt U! V70RK ON f MIS FRU1fCi OVER 70 DqVS DURATION <br />