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PUBLIC WORKS: <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street t <br />4.Z77NNIFEREverett, WA,98201 <br />(425) 257-8810 <br />OWNER NAME EVERENA 96203 APPLICANT NAME <br />AND ADDRESS: AND ADDRESS: <br />4253435817 <br />PHONE: I PHONE: <br />TAX PARCEL I.D. # PROJECT ADDRESS: <br />DESCRIPTION OF G <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />4905, kX`E. AVE <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 />4 IF(L d�-aM. f�ions. <br />3. ��`` Il L�$��``ca�i%h de''hh o `hd Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />Approved for Construction l Date <br />FINAL INSTYECTION <br />Approved as Constructed Date <br />Uj <br />.a <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, expen es, or causes of action that may arise <br />because of installation nd maintenance of the improvement or <br />other right of -way us her applied for and further agrees to <br />em a same upon oti 1'r m he City and to replace public <br />rope ty nd�amaged a by. <br />of <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT ISI18SUED AND THEREAFTER IS T6 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 />