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[�''?t?� <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Departmenl <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />Date: 10/28/2010 <br />Public Works Permit #: PW1010-022 <br />Buildinp Permit #; 81010-045 <br />Pianninq Reference#: <br />Public Works Fee $: $ 663.56 <br />Other $: <br />OWNER NAh1E AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />KATSAM LLC JOE STOY BAKER CONSTRUCTION <br />6720 FORT DENT WAY #230 <br />SEATTLE Wq 98188 <br />PHUNE: 2062463500 PHONE: 5095353668 <br />TAX PARCEL ID # 00439154701501 SITE ADDRESS: 2431 BROADWAY <br />DE�CRIPTION OF PROPOSED WORK: <br />NEW BUILDING - MONEY TRcE #6 <br />LOTS 13 THRU 16 BLK 547 PLAT OF EVERETT <br />(11I05I2010 3:05 PM MMH) <br />LOTS 13 THRU 16 BLK 547 PLAT OF EVERETf <br />P[RMIT CO�DITIONS <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 Construclion Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />TO F 1�TIyG <br />as <br />���i�'�� <br />� <br />/ <br />v <br />�G /�J <br />S��-�� <br />,_ � -�.. � _,_ <br />-., ss a rr� —7 <br />�"';.-'r-�g <br />;� -v �. �' • ��'t <br />� L � c`� - � � <br />� <br />L�� <br />� <br />{I't <br />`r_'�,'�!p �'� <br />[��.�.G �Ya` tAGy� ��1V? <br />OpOnON��vpG �1�TVp1 <br />O��'� v�-NO�c`J��O <br />�; <br />c� <br />c <br />r' <br />�n <br />�;� <br />T� <br />rn <br />r: , <br />„' <br />CDfJ <br />�y .^�. <br />L� <br />�... r � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless ihe City of Everett from any and ail claims for <br />damages, cosls, expenses, or causes of aclion that may arise <br />because of installalion and maintenance of the improvement <br />or other r'ghbof-way use hereto applied fur and further agrees <br />to remove same upon notice m the City and lo replace <br />pubiic r perty d ma ed e e y. <br />r��, <br />Signatur f Applicant ` Date <br />/ <br />WORK AUTHORIZED UY Tfi15 PERh1R MUST BE STARTEO WITHIN 180 DAYS OF DATE PERh11T 15 ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO CODIPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURAT70N. <br />