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PUBLIC 11111bRKS PERMITDate: 1/26/2016 <br /> City of Everett Public Works Department PubliVIIIIIIIIU�rks Permit#: PW1601-051 <br /> Err Cedar Street Parent Permit#: B1601-005 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Publid Works Fee$: $ 3,252.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> OLYMPIC GROWTH NORTH LLC <br /> PO BOX 997 <br /> SNOQUALMIE WA 98065 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 28053000406300 SITE ADDRESS; 1523 132ND ST SE STE B <br /> ANYTIME FITNESS TI-TRAFFIC MITIGATION <br /> • <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 /> -12-ri <br /> —{A <br /> I—, F_. <br /> CJ7 :.4. <br /> 5 <br /> [k <br /> `ri . rut <br /> 1.70 <br /> 1.0 <br /> TRAFFIC MITIGATION $3,252.00 �y <br /> � -_ t:::Y.,..)Con� <br /> '/ ..•n rri r•.7, <br /> 144 <br /> i <br /> 11 <br /> . .� - . 4 <br /> 9.N.:7& r...a :r•••:1-) .00 <br /> •--.3 61 C_"Y r7.7 <br /> 7, nti.1 r LTi Y <br /> - i r�nrE.^.i <br /> 'µ4J C <br /> C^ , <br /> F'B'I <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> i 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 /> J i ! eJ1Lv4/e (-6?‘---2e/-6 causes of action that may arise because of installation and maintenance of the <br /> Approved for Construction Date improvement or other right-of-way use hereto applied for and further agrees to <br /> ppremove same upon notice from the City and to replace public property <br /> dama.-= thereby. <br /> FINAL INSPECTION Date i Z '1 -/(p <br /> Approved as Constructed Si ature 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 /> ills✓ ✓ G 11 <br />