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PUBLIC WORKS �`����;IfT Public Works PerD tt#: PW1308-005 <br /> City of Everett Public Works Ct����ri�rent <br /> �y 3200 Cedar Street Building Permit#; <br /> Everett, WA 98201 Planning Reference#: <br /> (425) 257-8810 � <br /> Public Works Fee $: $ 25.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PRYSYAZHNYUKLYUDMYLA <br /> 2032 HIGHLAND AVE <br /> EVERETT �/�/q 98201 <br /> PHONE: 4253503832 PHONE: <br /> TAX PARCEL ID# 00563241003100 SITE ADDRESS: 2032 HIGHLAND AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> FENCE IN RIGHT OF WAY <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. Per approved plan dated 8/9/2013. <br /> Your public works inpsector is Randy Allen. Please call (425)257-7268 for any inspections or questions. w <br /> E"� <br /> ,,; i.:, h�l <br /> i:��� �.,,; � <br /> "�� � <br /> 0 <br /> h <br /> � <br /> !0 <br /> �;� ;;' � <br /> �..,J . <br /> f <br /> ,�� � <br /> �_. 0 <br /> � <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 /> �� t damages, costs, expenses, or causes of action that may arise <br /> �� ` �� ��� ; " �� ��. because of installation and maintenance of the improvement <br /> f <br /> � � � ��`�� �.S�� � �� "� �� �? or other right-of-way us ereto applied for and further agrees <br /> � �`�'�`� � ` ' � ` 1 � `� to remove same upo ice from the City and to replace <br /> Ap�Sroved for Construction Date public property dam g thereby. <br /> FINAL INSPECTION Date � � � `�--j ! � <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 THEREAF�'ER IS TO BE DILIGENTLY i <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. I <br /> f='4 t� <br />