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� ��D��B� H�90��SS P���'6�� <br />City of Everett Public INorks Department <br />� �.�; .�_,��,� 3200 Cedar Street <br />' �` "" ° Everett, WA 98201 <br />(�25) 257•R810 . <br />TO PC�STING.......!.!..;..'�.:.13.... <br />OWNER NAME AND ADDRESS: <br />DVS OF SNOH0��41SH COUNTY <br />PO BOX 7 <br />E-VERETT WA 98201 <br />PHONE 4252592827 <br />TAX PARCEL ID � 29051 i002�2500 <br />Date 1122/2013 <br />Public Works Perrnit;F: PW1301-013 <br />Buildinp Permit #; B1301-031 <br />Planning Reference #: <br />Pubtic Works Fee �: S 799.04 <br />Other S: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 711D RAINIER AVE <br />DESCRIPTION OF PROPOSED WORK: <br />f"�ING - DVS OF SNOHOfv11SH COUNN <br />PI,. ,SE 1: REtJOVATE EXSTG BLDG FOR ADMIN OFFICES AND SHELTER, ADD 2ND FLR INSIOE EXSTG BLDG, <br />NEW PKG, PLAY AREA 8 LANDSCAPING <br />PERfv11T CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance <br />2. All evork shall be performed in accordance �vith the permit and current Ciry c( Everelt D�sian and Construct�on Standards <br />and Specifcations. <br />3 Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 __ <br />4 Per approved plans. �� �� � <br />� <br />-t - . '�'! r: cn �. <br />Your Public V��orks Inspeclor is Randy APen CaII him at 425-339-%403 for queslions a,�d in��ectipps ,- -_: <br />= �, ;, <br />,: , <br />_� <br />�� <br />I'; <br />�= <br />r�, <br />�, ": <br />� :s� <br />,_. �. <br />ACKIJObVLEDGEIvtENT OF CONDITIONS <br />The unders�qned o�vner/appGcanl hereby agrees to hold and <br />save harmless the City of Everztl frcm any and all claims for <br />damages, costs, expenses, or causes of aclion that may arise <br />because o( installation and maintenance of the improvemenl <br />or ofher riqht�of-rvay use hereto applied tor and further agrees <br />to remove same upon notice from the City and to repiace <br />public�roperty damaged Ihereby. • <br />. <br />( i�� /? � <br />� ,f �!: �� ��-- �� ���- ��� <br />�. . .. <br />Signaiure of Applicant Date <br />\'lORK AUTHORI2ED 81 THIS PERI�IIT IdU57 BE STARTED 1'JifHIN l80 DAY$ OF UATE PERFIR IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PUKSU[D TO COPIPLETION. THIS PERFiIT h1AY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROIECT OVER 90 DAYS DURATIOtJ. <br />