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PUBLIC WORKS <br />PERMIT <br />0!;LT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />Date <br />8/29/2005 <br />Public Works Permit # <br />PW0508-048 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ $ 433 •8 0 <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: GARY �7ES SOS, AND ADDRESS: <br />PO BOX 2249 <br />EVERETT IIJA 98203 <br />PHONE: PHONE: <br />4253435936 <br />TAX PARCEL I.D. # PROJECT ADDRESS: <br />DESCRIPTION OF . e 5 — <br />PROPOSED WORK: SNORT PLAT IINIPROVENIENTS 1202-16-05 <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 1-800-424-6555 <br />4. PER APPROVED PLANS <br />Approved for Construction Date <br />iF AL INSPECTION <br />Approved as Constructed Date <br />1.....e 1— 1- <br />1 .e7 rri t si -cl <br />-ry <br />rn <br />::V <br />r--�i <br />bi <br />Ix <br />0:) <br />�4 <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 installati an5jmaintenance of the improvement or <br />other right-of-way u h to applied for and further agrees to <br />remove same upo n ce from the City and to replace public <br />property damage reby. <br />Date <br />R"A J <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 />