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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date <br />Public Works Permit If <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />6/16/2005 <br />PNO506-016 <br />$50.0 0 <br />OWNER NAME <br />APPLICANT NAME <br />C1151rf' KNO C-QRP. <br />AND ADDRESS: <br />AND ADDRESS: <br />18110 125TH AxtrE NE <br />E41F.i LL 98011 <br />PHONE: <br />PHONE: <br />4253287478 <br />TAX PARCEL I.D. # <br />PROJECT ADDRESS: <br />6420 HIGHLAND DR <br />DESCRIPTION OF <br />. . <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 APPR(WED PLA.11 DATED 6-14- 05 <br />Approved for construction(.,, • Date <br />FINAL INSPECTIO ' <br />Approved as Constructed Date <br />":Y <br />r Ti <br />;", <br />N.u. H-1• <br />—+ :F-. x= C= <br />r-z1 El <br />rl M <br />c�+ <br />T� <br />, , i-n <br />h fCn <br />ACKNOWLEDGEMENT OF CONDITIONS <br />M <br />0 <br />731 <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 u on notice from the City and to replace public <br />pyoperty m ed thereby. / <br />nature of Applicant D e <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 />