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������w►o��c� ��rtn�l�r <br />n� <br />City of Everett Public Works Department <br />�J l� 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />�WN�R NAM� AND AppR���: �11��� C� C������ <br />B l� I��-8 -I-9#-1id�E <br />1.OII9-I�f�[�1� a�v nQ <br />l`�+L-�r Wf�--��-18£�-- <br />� �at�: 10/1 �/�0� a <br />PubliL�'JVorks Permit #: PW1510-031 <br />Building P�rmit #; <br />Planning Referer�ce #: <br />Public Work� F�e $: $ 2�.OQ <br />��E��r �: <br />APPLICANi NAME AND ADDRES�: <br />BURTON CONSTRUCTIDN INC <br />1000 INDUSTRY DR <br />TUKWILA Wq 98188 <br />�HQ�-_��ary�.� ��20 PH�N�: 50921 F33820 <br />TAX PARCEL ID # 00644968301801 SIiE ADDRESS: 2930 WETMORE AVE <br />SCAFFOLDING FOR BLDG WORK <br />SCAFFOLDING AS PEDESSTRIAN SAFETY FOR BUILDING WORK ABOVE. <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. Maintain a minimum 4ft of unobstructed pedestrian access. <br />Public Works Permit Fee Breakdown: <br />Misc. Minor Permit $25.00 <br />� � � � <br />x � <br />��Z'?���L `���r�`� � <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />. - �"::::a . <br />I'�'�,� <br />' �i <br />l„ <br />'r'''` II `"t <br />1".:) I"�..:7 <br />L'i'nu! �r�'i <br />w:., � <br />C�� �����' �.':'i <br />[:-.r _ : <br />'^ , <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant 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 ther y. <br />�`!�l' ✓�'�a%— % S <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 />PURSU[D TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />t�'"� /�,. <br />r�--� � L <br />