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PUBLIC WORKS PERMITDate: 4/22/2016 <br /> Public Works Permit#: PW1604-055 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: <br /> Everett, 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 /> MARTIN BRADLEY MARTIN BRADLEY <br /> 2309 W MUKILTEO BLVD 2309 W MUKILTEO BLVD <br /> EVERETT WA 98203 EVERETT WA 98203 <br /> PHONE: 4257540292 PHONE: 4257540292 <br /> TAX PARCEL ID# SITE ADDRESS: 2309 W MUKILTEO BLVD <br /> GRADING IN THE PUBLIC RIGHT OF WAY <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 y,T; <br /> 4. Keep city streets cleanat all time. <br /> 5.Provide any necessary erosion control as directed by the public works inspector. ; [�I <br /> r_rifir_, <br /> 6. Contact Randy Allen at 425-339-7403 with any inspection questions. -" Fri <br /> Permit fee for minor work-$25.00 <br /> t�r-o <br /> V1 <br /> O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> f �7 City of Everett from any and all claims for damages,costs,expenses,or <br /> causes of action that may arise because of installation and maintenance of the <br /> Ap �i�C9 for onstru Date improvement or other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public property <br /> elldamaged thereby. <br /> INAL INSP TION Date <br /> Approved as Constructed Signatur of Applicant 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 />