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PUBLIC WORKS PERMIT Date: 4/1/2015 <br /> kz:': <br /> Public Works P�rmit#: PW1504-003 � <br /> City of Everett Public Works Department <br /> Y�` � 3200 Cedar Street Building Permit#; <br /> - �_- Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 45.00 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> AT&T CORP CLIFF ROBERTS <br /> 11241 NE WILLOWS RD SAME <br /> REDMOND Wq 98052 <br /> PHONE: 4258969851 PHONE: <br /> TAX PARCEL ID# SITE ADDRESS: 5929 EVEREGREEN WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> PLACE A HANDHOLE <br /> (4/1/2015 9:51 AM BES) <br /> PLACE A HANDHOLE <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. Any damage to sidewalk, driveway tec.. should be replaced per City of Everett Standards. <br /> 5.Traffic control should be per approved drawings 03/25/2015. .� !��`; <br /> 6. There should be at least a minimum of 5'(five feet) seperation between City of Everett utilities and dir�ctior►� � w <br /> boring. ��� � � [� <br /> 7. Caution there are a lot of water utilities(Everett and Alderwood) in the area of your project. � � �', �"� <br /> 8. Contractor must contact City of Everett Inspector � ��" � <br /> � Cliff Lindman 425-339-7404 prior to starting construction �,a �� O <br /> � �-• <br /> �-..�.., � <br /> �� <br /> � � � <br /> � �. � <br /> ��� .� •� N <br /> n�x� � T/� <br /> . � Q�p '�°G' V1 <br /> -i j l.. O <br /> � �)...�.--.3 <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 insta tion and maintenance of the improvement <br /> � � �S'' or other right-of, ay us hereto applied for and further agrees <br /> to remove sa e upo tice from the City and to replace <br /> proved for structi n ate public prop y da d thereby. <br /> FINAL INSPECTION Date <br /> � ���� �S <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 THEREAFT'ER 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 /> ��V v <br />