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• :;�:.�: ��:.:� � .>a:�,,,-�� �.. .ice; <br />PUBLIC WORKS Date 4f25/2007 <br />Public Works Permit# PN0704-046 <br />PERMITBuilding Permit # <br />C47T PUBLIC WORKS DEPARTMENT 3200 Cedar Street Planning Reference # <br />Everett, WA 98201 <br />(425) 257-8810 Public Works Fee $ S5 0 <br />Guarantee $,� <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: u Oshua Fanit: AND ADDRESS: a e <br />525 N. 10 st fit. <br />Seattle Wa 98133 <br />PHONE: ' C n 7 81016J 6 PHONE: <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />817 Leland' Dr. <br />DESCRIPTION OF <br />PROPOSED WORK: Short plat #1202-37-06 <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 W <br />4. Construrt per Dlan <br />V <br />Im <br />4i <br />k-1 Cn <br />_ 'u.+ ti7 Y'�'� <br />18 0 <br />0 <br />vJ a <br />a ;well%- <br />fi�S��D�6 Sim Ss�l�c <br />17 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />461 save harmless the City of Everett from any and all claims for <br />A ed for Constructi6n '� Dad 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 />INSPECTION property damaged thereby. <br />Approved as Constructed Date <br />Signature of Applicant 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 />EPWP (7/06) DATABAR, INC. <br />