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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 , .. DEC 2 6 200 <br />TO <br />Date 01/18/2008 <br />Public Works Permit# PWOBOI-008 <br />Building Permit a BOBO1-021 <br />Planning Reference # <br />Public Works Fee $ 548B.90 d <br />O� <br />OWNERNAME <br />AND ADDRESS: <br />SCHMIDT INVESTMENT GROUP <br />APPLICANT NAME r <br />AND ADDRESS: <br />PO BOX 2555 <br />EVERETT WA °8213 <br />PHONE: <br />4252581969 <br />PHONE: <br />TAX PARCEL LD.# <br />00907800603300 <br />PROJECTADDRESS: 4416 RUCKER AVE <br />_ <br />DESCRIPTION OF <br />PROPOSED WORK: <br />NEW MEDICAL OFFICE BLDG <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 this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />Uj <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER <br />1-800.424-5555 <br />4. Civil wock to t-e done per pl-Ins approved on 4-8-06 <br />(cops attached) <br />5. Keep streets clean at all times. <br />T, <br />YOUR PIBLIC WORKS INSPECTIOP, IS RANDY 925-339-7903r�, <br />r-+ <br />N <br />F' <br />° <br />Z <br />V <br />ip <br />uz <br />L•I��tr(Jl <br />��o��S <br />1- <br />IL <br />9 <br />/24-off <br />Date <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 installation and maintecance of the improvement or <br />other right-ot•way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged thereby. ; --I <br />Signature of Applicant Date <br />LIGENTLY <br />WORK <br />COMP COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY IUPON ANY STOPPAGE OF WORK ON THIS PROJECT VER 90 DAYS 80 DAYS OF DATE PERMIT IS ISSUED AND THEREAF1 ER IS TO BE IDURAT ON. DATABPURSUED <br />O <br />EPWP (ram) ATABAR, INC. <br />