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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />00 T 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date 5/23/2005 <br />Public Works Permit # PW0505-026 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $4, 200.44 <br />Guarantee $ <br />OWNER NAME <br />AND ADDRESS: <br />APPLICANT NAME <br />AND ADDRESS: BOB VEHRING <br />3216 WE7'1(.) X <br />AVE SUITE 206 <br />E%TPXTT <br />WA 98201 <br />PHONE: <br />PHONE: 4252589567 <br />TAX PARCEL I.D. # <br />PROJECT ADDRESS G <br />G <br />7- <br />DESCRIPTION OF <br />PROPOSED WORK: <br />%'+ t 02—� _ t <br />Si�i%j�W/ZOC� <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 />4. PER APPR01,1ED PLANS DATED 5-20-05 <br />Approved 166Oon%structiof5 Date <br />AL INSPECTION <br />Approved as Constructed Date <br />X.��'pp! <br />114 <br />0-0 <br />•Ei✓J Mwpd iY-1 KS .n <br />r'II aJ E- <br />•.:7 5 ifs ; --J h-r' iY:S f T7 •[F.• <br />-.7 <br />_GF::. ryl.;'C:::' -.._) G7`I •..y: f-rye e-r.. C> C.y <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />0 <br />0 <br />0 <br />a <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 />prope damaged by. <br />r z3 �. <br />Signaturp orpIAant 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 />