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PUBLIC RKS Date 1013, 2006 <br />PER6DETMENT <br />Public Works Permit# PWO610-002 <br />Building Permit # <br />PUBLIC WORKS <br />3200 Cedar Street Planning Reference # <br />Everett, WA 98201 (425) 257-8810 Public Works Fee $ <br />$903.24 <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: PHILL-TP ANDERSON AND ADDRESS: <br />TR ift ; i3AC1 <br />11231 2ND AVE SE 7710 CASCADE DR <br />EVERETT VA 9821.18 F%"ERE—LT- WA 98203 <br />PHONE: PHONE: <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />7T9l7 F7 cnz nr_�.�. <br />DESCRIPTION OF <br />PROPOSED WORK: SHORT PLAT IMPRt ►YEMETS 1202_ 14_ ly 5 <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 <br />4. PER APFRU%TD PL7�' _:.`_� --r:-'•'r, <br />E71 -Z-/ � <br />y #n fin` <br />pprov d for Construction Date <br />F ECTION <br />A15proved as Constructed Date <br />-- /Z -/Z - v 7 <br />l <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 />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 />property damaged thereby. <br />Signature of Applicant Date <br />V) <br />M <br />C <br />on <br />Z <br />O <br />Cn <br />0 <br />a <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) _ -J DATABAR, INC. <br />