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PUBLIC 910RKS PERMIT Date: 12/2/2015 <br /> Public Works Permit#: PW1512- <br /> 12-006 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 <br /> (425) 257-8810 Planning Reference#: <br /> Public Works Fee$: $ 65.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> BNSF RAILROAD CO PETER BOZIN <br /> 2454 OCCIDENTAL AVE S SUITE 2D 11711 SE ST SUITE 120 <br /> SEATTLE: WA 98134 BELLEVUE WA 98005 <br /> PHONE: PHONE: 4252855111 <br /> TAX PARCEL ID# SITE ADDRESS: 2910 TERMINAL AVE <br /> REPLACE BROKEN CURB <br /> REMOVE:AND INSTALL CURB DAMAGED DURING RAILROAD PROJECT <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 /> M G J <br /> 4. Contact the City of Everett Public Works Inspector Randy Allen at 425-339-7403 prior to st €#ktg_eoin»ctio.g <br /> and with other inspection requests. See attached to request an inspection. <br /> cr c <br /> 5. Curb shall be replaced per City Standard#305A. (Copy Attached) "=' <br /> K_Y <br /> t Y r-7 <br /> �•• rrt r• <br /> 6. Saw cut cut in front of proposed gutter and completely remove old curb and gutter. Consult with public Works "—`r'3 h..., <br /> Inspector regarding this procedure. <br /> F F Z <br /> 7. Provide traffic control per City Standard 701A (copy attached) and per the MUTCD and per thgflpspector's <br /> directions. �� ,` <br /> L-'7 <br /> .-.{ems.. L:) <br /> Public Works Fee Breakdown: <br /> Plan Review$20.00 <br /> Inspection $20.00 <br /> Minor perm t$25.00 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 /> 24 Z' Z S or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Ap roved for Construction Date public property damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of licant 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 />