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PUBLIC WORDS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />00;E77 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date1 <br />Public W%I� s Permit If <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />8/9/2005 <br />PF6508-011 <br />9P <br />$50: 00djj1 <br />OWNER NAME H1P 'MLR-T-TAN � ONST, <br />APPLICANT NAME <br />AND ADDRESS: 1816 NORTH 54TH ST <br />AND ADDRESS: <br />SEATTU AA <br />98103 <br />PHONE: q y9 <br />PHONE: <br />TAX PARCEL I.D. # <br />PROJECTADDRESS: 6720 EERXSHiRE DR <br />DESCRIPTION OF 2 ` — — <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 />NEGT PARKING AREA <br />Approve r Construction Date <br />` FINAL INSP ION <br />Approved a onstructed 6ate <br />S �4� <br />P` <br />F-} GJ} C) C> C_] f r7 <br />5 _ <br />M i.0 <br />r <br />r <br />rya <br />f T} <br />M•� <br />�1 <br />••^-•i C• 7 Lr'1 <br />T} <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Cn <br />M <br />0 <br />�311 <br />0 <br />Cn <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 otice from the City and to replace public <br />pr y damag ereby. <br />Signature of Applicant 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 />