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�� <br />`� <br />" F £{ZETI" <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 C��dar Street <br />Everett, WA 96201 <br />(425) 257-8810 <br />Date: <br />Public Works Permit #: <br />Buildinp Permit#; <br />Planninp Reference #: <br />Public Works Fee $: <br />Other $: <br />6/29/2011 <br />PW1106-028 <br />B1106-040� <br />$ 45.00 <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />GRANDCOR INC OWNER <br />11108 131ST AVE NE <br />LAKE WA 98258 <br />ST�VENS pHONE: <br />PH NE: <br />TAX PARCEL ID # 28042400100600 SITE ADDRESS: 125 SW EVERETT MALL WAY <br />DESCRIPTION OF PROPOSED WORK: <br />TI-GERBER COLLISION & GLASS <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. Storm drainage system shall be cleanedlvactored per 14.28.460A of the Everett Municipal (:ode T � <br />ni <br />FOR PUBLIC WORKS INSPECTIONS CALL CLIFF LINDMAN AT 425-339-7404 <br />�0 ' <br />for <br />.C��,�,� �a« „-�,—,, <br />as Constructed _ <br />r r � <br />n�oxecn.�r� <br />m � "� <br />� � <br />� <br />�"t <br />y <br />� <br />�� <br />r L�� � � <br />d� �OlA <br />(^_y n/ ��1 [OJI T� .Lt� L.l <br />fJIVIOmOfJ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save hermless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because �f installation and maintenance ot the improvement <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />�-;� �—� �—��� <br />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMff MUST BE SfARTED WITHIN 160 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO 8E DILIGENTLY <br />PURSUED TO CO(�1PLE(ION. THIS PERMR MAY BE CANCELLED BY THE CITY UPON ANY SfOPPAGE OF WORK ON THIS PRO]ECf OVER 90 DAYS DURATION. <br />