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� PUBLIC WORKS PERMIT Date: 1/14/2010 <br /> Public Works Pertnit#: PW1001-009 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buildinq Permit#; <br /> Everett, WA 98201 Planninq Reference#: <br /> (425)257-8810 <br /> Public Works Fee $: $ 1,848.24 <br /> Other$: <br /> OWNER NAME AND ADDRESS: APPLICANT NP'�"E AND ADDRESS: <br /> CEMEX CJEBERT <br /> 6300 GLENWOOD 2911 1/2 HEWETT AVE SUITE 1 <br /> EV 98203 EV 98201 <br /> PHONE: PHONE: 4252589366 <br /> TAX PARCEL ID N SITE ADDRESS: 6300 GLENWOOD AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> STORM WATER SYSTEM <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 curcent 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. PER APPROVED PLAN <br /> r.�r � � �` <br /> ---� F�I <br /> C7���� o � <br /> � ��� g �1 <br /> r <br /> � �i � <br /> {A �r <br /> ~ � � <br /> � O <br /> �ss�w <br /> �,-�r• <br /> a�� ��� � <br /> or��o, ;o <br /> �l�o�.c o • O^ � <br /> ~� ^ <br /> r r <br /> TO PASTING g�2°��� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save hartnless the City of Everett from any and all Gaims for <br /> damages,wsts,expenses,or causes of adion Ihat may arise <br /> because of installation and maintenance of 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 /> Appr e o� nstruc ' Date public p ope damaged thereby. <br /> ,�1.- Z.- f > <br /> / .-�,�� /-Z�-- �G <br /> INAL INSPE ION Date <br /> Approved as onstructed ignature of Applicant �_� �y�r et� <br /> WORK AUTHORI2ED BY THIS PERMR MUST BE STARTED WRHIN 180 DAYS OF DATE PERMR IS ISSUED AND THEREAFfER IS TO BE DIUGENTLY <br /> PURSUED TO COMPLETION. THIS PERMR MAY BE CANCELLED BY THE C[TY UPON ANY SfOPPAGE OF WORK ON THIS PRO]ECf OVER 90 DAYS WRATION. <br /> � <br />