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PUBLIC WORKS PERMIT Date: 0 tVO16 <br /> Public Works Permit#: PW1608-041 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Parent Permit#: B1608-005 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 2,326.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NCC 3601 LLC CHAPMAN BOBBI <br /> 1701 41 ST ST STE A-1 <br /> EVERETT WA 98201 <br /> PHONE: PHONE: 3604172634 <br /> TAX PARCEL ID# 00451401000100 SITE ADDRESS: 3601 COLBY AVE <br /> TRAFFIC MITIGATION FOR OFFICE TO DENTAL OFFICE-DR AMY NORMAN <br /> NLLEY TO SE COR LOT 2 SD PLAT TH <br /> ANG 90°` L TO E DIST 4.46FT TH NLY <br /> TAP 3.45FTE OF POB TH ANG 90" L <br /> TO W DIST 3.45FT TO-P= <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 /> n <br /> M511 <br /> TRAFFIC MITIGATION......................................$2,326.00 ~ <br /> (per Traffic Ordinance/EMC18.40.010) <br /> ILL <br /> rl`r <br /> UT1 J O <br /> t r •ffi <br /> t_.r. 211 4.Y-�!;-Tt—:7 L•fJ�a v rf Y••O <br /> ^� .;-]1-•h+t--`C]CJS 1_Tl -] <br /> C J CY W1 <br /> [-T7 <br /> w <br /> Vl <br /> O <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> Al The undersigned owner/applicant hereby agrees to hold and save harmless the <br /> / City of Everett from any and all claims for damages,costs,expenses,or <br /> z2U causes of action that may arise because of installation and maintenance of the <br /> improvement or other right-of-way use hereto applied for and further agrees to <br /> Approved for Construction Date remove same upon notice from the City and to replace public property <br /> damaged thereby. <br /> FINAL INSPECTION Date <br /> Approved as Constructedtgnatur=713 <br /> icant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE 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 />