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PLIBLICSIORKS PERMIT Date Applied: 11/22/2017 <br /> City of Everett Public Works Department Public Works Permit#: PW1711-027 <br /> 3200 Cedar Street Parent Permit#: B1711-005 <br /> Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 Public Works Fee: $65 <br /> 0 2 JAN LU to. <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> FLEET REAL ESTATE LLC SPENCER ANDI <br /> 7511 BEVERLY BLVD <br /> EVERETT, WA, 98203 <br /> PHONE: PHONE: 2063362867 <br /> TAX PARCEL ID#: 28050800301500 SITE ADDRESS: 8215 BROADWAY0 <br /> DESCRIPTION: INSTALL(3) NEW PANEL ANTENNAS, ETC-VERIZON <br /> THIS PERMIT COVERS THE WORK WITHIN THE RIGHT OF WAY UP TO THE EXISTING POWER POLE <br /> THIS PERMIT TO BE POSTED ON JOB SITE AT ALL TIMES <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 for Development'. <br /> 3. Call Location Underground Service 48 hours before you dig. The day you call does not count. TOLL FREE NUMBER 811. <br /> 4. Any damage to City improvements (sidewalk, curb, roadway, etc.) shall be replaced per City Standards ander a&"I"T <br /> directed by the City PW Inspector. <br /> 5. Contact the Cityof Everett Public Works Inspector Jim Knappert at 425-339-7404prior to �"'' —{ <br /> p pp darting cpuctn, to <br /> evaluate traffic control set-up, with other inspection requests, and to final the permit. x' rrj <br /> 6. Restore area along back of sidewalk to like or better condition. Do not leave a drop off at the back of sidewalk. <br /> ,:may <br /> 7. Keep City streets clean at all times. No dirt, mud, rocks, or debris to be tracked onto roadway or the sidewalk. } <br /> ink c�-i <br /> Public Works Permit Fee Breakdown: �•,;r•.:s r•.s '' <br /> Minor project $25.00 <br /> PW Plan Review $20.00 11 <br /> PW Site Inspection $20.00 <br /> [ JAN 022017 J <br /> CITY OF EVERETT <br /> Permit Services <br /> City of Everett Official Use Only ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and save <br /> Q f / harmless the City of Everett from any and all claims for damages,costs, <br /> i-7 -17 <br /> expenses,or causes of action that may arise because of installation and <br /> maintenance of the improvement or other right-of-way use here to applied <br /> Appro d for Construction (Public Works) Date for and further agrees to remove same upon notice from the City and to <br /> repl e public operty damaged thereby. <br /> FINAL INSPECTION Date WA/ 42.1 Izoa <br /> Approved as Constructed (PW Inspector) igna ure of Applicant0� Ifer1/4 Zel Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO <br /> COMPLETEION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90-DAY DURATION. <br />