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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />y <br />Date 11/9/2007 <br />Public Works Permit OPWO711-032 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee S $ 50.00 <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />ANDADDRESAverett Elks ANDADDREStary P3rkin30n(Architect) <br />2721 Rucker Ave 2812 Colby Ave. <br />EWverett wa 98201 Everett Aa 98201 <br />PHONE: 4254185013 PHONE: 4252522153 <br />TAX PARCEL I.D.# PROJECTADDRESS_^14av-I- <br />DESCRIPTION OF <br />PROPOSED WORKiixed use building <br />Construction of mixed u3e building(Elks club d re3idential) <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 />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Construct per plan. <br />♦�f^ <br />f{} <br />3 <br />r� <br />O <br />).A <br />UA r <br />,C////A) <br />H Ar[�~O�Vi-71O1� <br />V.Ji18�32'8 r5� <br />''•' <br />0 <br />-1 A SI <br />Z <br />ISI <br />0.p+ <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 maintenance of the Improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />p pe y damaged ther y. <br />ignatureolA cantWORK AUTHORIZED BY THIS MUST BE STARTED ate <br />RMIT <br />TO COMPLETION. THIS PERM TEWITHIN <br />MAY BE CANCEL ED BY THFCITYIPERMIT80 DAYS OF DATE UPON ANYY STOPPAGE OFROATAB <br />WORK ON THIS OJDILIGENTLY IS ISSUED AND THEREAFTER IS TO BE PURSUED <br />EC OVER 90 DAYS DURATION. DATAB <br />EPM (7106) AR, INC. <br />