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� ���� � PU��LIC WORKS PERMIT �ate: �ziz6izoos � <br /> Public Works Permit#: PW0812-010 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buildinq Permit#; <br /> �� Everett, WA 98201 <br /> "s Planning Reference#: <br /> x,�.. <br /> (425)257-8810 <br /> Public Works Fee $: $ 212.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> WARSHAWER BOB ANDERSON JEREMY <br /> 1512 FARVIEW ST <br /> BELLINGHAM Wq 98229 <br /> PHONE: 3607347930 PHONE: 4253190216 <br /> TAX PARCEL ID# 00516444800500 SITE ADDRESS: 2109 CEDAR ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> BORE IN THE ROW FROM PUD POLE 1-99 TO 1-338 (212') <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. Must maintain 3 foot horizontal separation from existing 16" sewer main in alley <br /> 5. Traffic control as per approved plan by Michael Brick(12/24/2008) <br /> 6. All restoration to be completed within two weeks. (Restore alley approach and alley to original condition) ;�; ��,� <br /> �, <br /> �--� �- <br /> �' � � <br /> ��'� '=; � <br /> � :":.' � � <br /> r�.� �., �O <br /> � � ��, <br /> i >a <br /> � <br /> � � .!,�� <br /> r�.� �~°� <br /> �(�y �� <br /> � i�Fl�5di�k �Vl <br /> �o � <br /> a•.��a�..� <br /> �a�Ci ca �;O <br /> C-11-- ",k� <br /> C.�"I <br /> --:7 <br /> t--°�->' <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant 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 /> Approv for Construction Date public damaged thereby <br /> FINAL INSPECTION Date � ��"`��U� <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />