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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />SNOHOMISH CO PUBLIC TRANS <br />BENEFIT AREA CORP <br />EVERETT WA 98204-1462 <br />Date: 4/6/2015 <br />Public Works Permit #: PW1504-013 <br />Buildinq Permit #; <br />Planninq Reference #: <br />Public Works Fee $: $ 5,414.06 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />DAUBENMIRE LARRY <br />7100 HARDESON RD <br />EVERETT WA 98203 <br />PHONE: I PHONE: -4Z 19 349 ^Z393 <br />TAX PARCEL ID # 28041400203300 1 SITE ADDRESS: 2300 KASCH PARK RD <br />DESCRIPTION OF PROPOSED WORK: <br />RESURFACE PARKING LOT, UPGRADE STORMWATER TREATMENT FACILITY <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. Work to be done per approved plans dated 04-07-2015 <br />5. Community Transit is responsible for doing detailed/special inspection on the pavement as they see fit. The 5Mtylz <br />w <br />will not be checking thickness, reinforcement, grades, Etc. <br />6. Please contact the construction Inspector at 425-339-7404 for a Pre -Con meeting beforeMeg a- iQ iWA. <br />L•J m <br />proved for Cb struction Date <br />FINAL INSP CTI ate <br />Approved as Cons ruc ed <br />! <br />i <br />> <br />I�� iyt <br />•Efi! .y�. <br />O <br />r ° F <br />C_ j <br />r i r_n <br />- i C <br />J O <br />IX) <br />!J3 <br />i..31 <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 remove same upon notice from the City and to replace <br />public property damaged thereby. <br />Z'U4 Q' �) _ / ':�- <br />(24 <br />Signature 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 />