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PUBLIC WORKS Date /3/2 06 <br /> Public Works Permitp.40602_003 <br /> PERMITBuilding Permit# <br /> OLT PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 $1, 900'18 <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDRIIEiT FTTZ='HERALD AND ADDRESS: <br /> 3811 121 ST PL SE <br /> E' ERETT NA 98208 <br /> PHONE: PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: <br /> .5.F%Fx RRCI..T1T <br /> DESCRIPTION OF <br /> PROPOSED WOI SHORT PLAT IA1.PRO NTS 1202-12-0 4 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance-phone (425) 257-8810 <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 /> W <br /> 4. PER APPROVED PLAN <br /> 0 <br /> O <br /> Cn <br /> 0- <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> f ,, save harmless the City of Everett from any and all claims for <br /> App ved for Construc ion Date 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 no' e from the City and to replace public <br /> FINAL INSPECTION property dams d t reby. <br /> Approved as Constructed Date <br /> --z-3—C) <br /> Signature Ap scant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />