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PUBLIC WORKS PERMIT Date: 6130/2011 <br /> F; Public Works Permit#: PW1106-029 <br /> City of Everett Public Works Department Building Permit#; <br /> �, 3200 Cedar Street <br /> 7 <br /> zarEverett, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FREDRICKSON RICHARD ALL CONCRETE SURFACES LLC <br /> 2531 57TH ST SW <br /> EVERETT WA 98203 <br /> PHONE: 4258259911 <br /> PHONE: <br /> TAX PARCEL ID# 00813500004400 SITE ADDRESS: 2531 57TH ST SW <br /> DESCRIPTION OF PROPOSED WORK: <br /> REPLACE PORT ION OF SIDEWALK FOR CONDUIT PER COE DETAIL#319 <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 permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig TOLL FREE NUMBER 811 <br /> 4. The contractor must meet with the Public Works Inspector to discuss potential drainage routing prior to begins thg may, <br /> H <br /> the project Call Randy Allen at 425-339-7403 =+ <br /> 5 No dirt, mud, rocks or debris to be tracked onto roadway. ��jj w"6, No building materials to be stacked on sidewalk/roadway and sidewalk roadway to be kept clean artL;ope7i ford Vj <br /> pedestrian travel. <br /> replace7. Remove and <br /> pr posal's frrontageas d rested by Ih:nlil <br /> Public Works Inspectoty r(I Standard <br /> e. all unused driveways eways and any broken orhrs <br /> damaged area must be replaced). ~ <br /> fnJi <br /> Lo A <br /> gcs ��r�w <br /> r w <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 <br /> or other right-of-way use hereto applied for and further agrees <br /> ��✓ / to remov m Pon notice from t City and to replace <br /> A r d r oust V Date publ ro if am Bed t e <br /> PP <br /> INAL INSPL TION Date <br /> Approved 4 Constructed Signature of Appli ant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION, THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION <br />