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i <br /> i <br /> � <br /> i <br /> PU�LI� I�ORKS �>a�z 2��s�2a16 i <br /> __ _ _ _ __ ___ � <br /> �EE <br /> � �����°'��'°1lt7�� �d�� Pu4liclNorksPertnitl6 _��A.__._��—� f � <br /> �� PERN11T Buildingpermilt� _�1�A ��� ; i <br /> I ; <br /> _._-- � ; <br /> PUt3LIC WORICS DEPAftTMENT P1ane€ng reterence# N�A � ' ' <br /> 3200 Ceda�Sireet ---..�. <br /> Evere(t,WA 987.Ot Puhllcv�orksFaeS _N/A � � <br /> (425)257-88'f 0 _:- 3 <br /> ' <br /> . <br /> __ _ _ Gua�anl'eeS _ _ N�A _ <br /> OWNER NAME ` ' AppUCANT f�lAME -- — — � <br /> ANDA�DRESS___ _ ___ �� ANUADDE�ESS; I; <br /> - -� c <br /> ��o��L��nk _ _ ___.... Ness anc���m�b,ell Crane Com���3y-Krfs �' <br /> __ --_ _ __ . ;i <br /> 270?_ Colby/�ve 1821 1£30th St 5E <br /> _. _ A 98012 '. <br /> �ver��tt,Wa 98201 _ __.. __ _ ._ . ._ ... _ _ Bothell,�5 _ __ . . ___.. --.__.__.__.._ i <br /> PHQNE: — -_ PHONE: �_ )984-3283 i <br /> TAX PF,RCEL I.D,�k PROJECT ADDRESS: 2702 Colby/-1V6 ;� <br /> D�SCFIPTION 0� � j� <br /> PROP05ED bVOftK: <br /> ti (� <br /> 5e#t,p traffic controf to close a lane an Evereft Ave in front of 2702 Colby to pface HVAC unit on the roof. :( <br /> � <br /> '`� <br /> . <br /> �� ��: <br /> . . . . . ..... . .... ._ .. . . .. . . ...... . .. .. . ... . . ._ .. . . ...... ...... ...... ... ..._.. .. .........: 'i3 <br /> PERMIl�CONDETIONS: ��� <br /> 1, Ali calis for inspeclion shail bs made 24 hours in advance. !' <br /> 2. All work shall be perFornled in accordance with fhis permit and current Cify of Evereti Desic�n and ConsUuction Standards antl Specificatinns. <br /> 3. Ca!(Location Underground Service�i8 hrs.before o� u di.g. TOLL FRE�NUMBER�•860-424-5555. <br /> 4. Lane closure hours permftted weekdays 7:OOam to 3_30pm and 6;OOpm to 10:OOpm. <br /> 5. Lane closure setup shall be per approv�d#raffic con#rol plan da#e '16 February 2016. � <br /> 6. Permit Valid 16 February 2096 fo'L4 February 2016. � <br /> 7. Flag sidewafk for pedestrians during s}�art ferm closures,stoUping all pedes#rian traffic when overt�ead hazard exists, '' <br /> � <br /> Short torm closures shall not exceed 15 minufes. lf long ferm sidewaik cfosure is needed, R9-1 i signs sha![be piaced at ii <br /> siynalized intersectians either side of closure, and R9-9 signs shall be placed at the closure point.Ttie closure area <br /> needs to be physically blocked wifh barricades ar orange canstruction fencing during long term closures. " <br /> i <br /> � <br /> ; <br /> __ --- —-– _ _. _.__._ ----- --._._.. . ...___ ---- .. ---- --` ;E <br /> „ <br /> � <br /> ACKNOWLEDGEMENT 0�CONDITIONS � <br /> The undersigned ownedapplir,ani hereby agrees(o hold and sav� ' <br /> _ _ _ -_.__ �- ___J_��. ____ �.�.... s <br /> _ W _. ..__. ._r _.__ .__ . <br /> Corey N. f-�ert 02l16/20'f 6 harmless the City of Everet[ftom any and all clalms ta�damages, <br /> ---------- ----- - -------- ----- ---�----------- costs,expenses,or causes af act€on that may arise because of �� <br /> Appra�ed for Gonstruclion Qale ins[allaiion and maintenanc.e of the improvement or ofher right-of- i <br /> way use herelo applied tor and furf�er agrees to remove same '� <br /> upon notice frem the City and lo replace public properfy damaged � <br /> thereby. � <br /> � <br /> . � � � <br /> 1� ----_ . _- �-.-�.`N � � ��- .�_ _ � <br /> -----___. .,� f y,�,�� -�� � �, -�---�� � , i <br /> FINAI.fNSPECTION Dafe j� , �I � <br /> . <br /> A�provedasConslrucled _ 5igdalureofApplicant P'-- Date ',I <br /> WORK AUTHORI7Cb HY TNIS PE�«ifT MUS7 f3E S7t\R7En WIi}i1N 1A0 bAY5 OF DATE PERMiT IS ISSUED AND THFRFAFIER TO E3[DIUGCNTLY PURSUED TO ' <br /> COMPLETION. THIS{'ERM1T Nu�Y B[ClUICELLED�Y THE C(lY UPON APJY�TOPPAGE OF VdORK ON TIi15 PROJ[C7 OVGR 90 DAYS�URA710N. <br /> �;; <br /> EPWP(11/l3� . �. <br /> S <br /> � <br /> S:19 CommonlEngineering Sharod\Traffic ErzgineeringlRight of Way Use Permit � <br /> `i <br /> i <br /> ' <br />