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TAP'. PUBLIC WCORKS P _1 % iDate: 10/26/2011 <br /> r�� . lolc <br /> Works Permit#: PW1110-018 <br /> City of Everett PuOcforks Depent <br /> 3200 Cedar Street 1 Building Permit#; <br /> gricIT <br /> Everettf 91l <br /> iw;8 Planning Reference#: <br /> (425)2817188'16 - <br /> 1 OTHER :: „t; Public Works Fee$: $ 25.00 <br /> ii_ $25.00 Other $: <br /> OWNER NAME AND ADDRESS: <br /> tl� APPLICA AME AND ADDRESS: <br /> PINE STREET MOBILE PARK BOMAR JIM <br /> 1131 PINE ST <br /> EVERETT WA 98201 <br /> PHONE: PHONE: 3606594116 <br /> TAX PARCEL ID# 00960009200300 SITE ADDRESS: 1131 PINE ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> REPLACE WATER LINE AT MOBILE SITE <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 24"cover over waterline. <br /> 5. Pipe to be bedded in sand. <br /> Maximum 80 psi at each space. Pressure reducing valve will be required as needed. <br /> 6. Main waterline to be 2"diameter with a minimum 3/4" diameter service lines. <br /> 7. Keep streets and sidewalks clear of all debris <br /> 8.All piping must be inspected prior to covering. <br /> CALL RANDY ALLEN AT 425-339-7403 IF YOU HAVE ANY QUESTIONS AND FOR INSPECTION. C <br /> z <br /> C <br /> [.,.I <br /> C <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 /> (0/ because of installation and maintenance of the improvement <br /> i ( or other right-of-way use hereto applied for and further agrees <br /> Approved for Construction to remove same upon notice from the City and to replace <br /> pP public property dama•ed thereby. <br /> FINAL INSPECTION Date <br /> d _ -/ <br /> Approved as Constructed Si if ture of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER 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 />