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PUBLIC WORKS <br />Date 7/8/2005 <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />417T 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Public Works Permit # PW0507-013 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $1, 161.61 <br />Guarantee $ <br />OWNER NAME OLI%IER LEE--L S <br />APPLICANT NAME <br />AND ADDRESS:3 TA MARILYN AVE <br />AND ADDRESS: <br />EVERETT NA <br />98204 <br />PHONE: <br />PHONE: <br />TAX PARCEL I.D. # <br />JPRO—OJECT <br />ADDRESS:3 19 iP1 ,ILYTI ACT <br />DESCRIPTION OF 5 '" <br />J <br />PROPOSED WORK: <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 APPORVED PLAWS DATED 7- 6- 05 <br />f <br />App oved for Construction Date <br />INSPECTION <br />Approved as Constructed Date <br />ew)— 7-57-- ©5- <br />t...., ;� ram -•-a r"-i <br />,, <br />'-` 3 [:`j <br />r <br />4`7 <br />kd I <br />0 <br />--J <br />0 <br />PCP <br />01 <br />c: <br />rr-1 O <br />CI ! <br />I-^-'• C <br />C�^T7 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />U) <br />M <br />O <br />z <br />Cn <br />O <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 applie for and further agrees to <br />remove same upon notice from th and to replace ublic <br />p;aV—e?Iiy damaged thAre¢y. _ <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 />