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PUBLIC WORKS <br />PERMIT <br />00 <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />6/1/2005 <br />PT40506-001 <br />$50.00 C, <br />OWNER NAME APPLICANT NAME C ' + �ralLiF° I�tl'4'. LLG <br />AND ADDRESS: AND ADDRESS: <br />4727 M,7.Pt7aEid wi, y SUITE A <br />Ekwzl—1 fA 98203 <br />PHONE: PHONE: 42525�21884 <br />TAX PARCEL I.D. # PROJECT ADDRESS: 712 90TH ST S9 <br />DESCRIPTION OF L 04!",E L— <br />PROPOSED WORK: <br />=1IT, IIII&W019111Eel ►10 <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 APPROVED PLAPI DATED 5-:31-0.5 <br />Approved fConstruction Date <br />s <br />r <br />AL INSPECTION <br />/ Approved as Constructed Date <br />-1, <br />n <br />--i <br />rr_ <br />nai =r i C3 <br />I ' I `n ;�'� C=' <br />c� <br />� r-w <br />c•'�K=]EGG <br />p "c' C� C- Cr7 <br />'� r -i C5 <br />ACKNOWLEDGEMENT OF CONDITIONS <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 />Zg --C' '�- other right-of-way use hereto applied for and further agrees to <br />remove same rh*m <br />n notice from the City and to replace public <br />property d ma therebl" l/ <br />(-A4 Signature of App scant 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 />