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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />4:7T 3200 Cedar Street <br />Everett, WA 98201 <br />(425)$257-8810 <br />TT T1tSAT. !� f� A ���I�I� wf1f1 <br />9/30/2005 <br />Date <br />PT40509-045 <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $498.81 <br />Guarantee $ <br />OWNER NAME 5 610 E LE}'II iG <br />AND ADDRESS. <br />AND A DRESS: " <br />EVERETT WA 98203 <br />4255016779 <br />PHONE: <br />PHONE: <br />T+T <br />TAX PARCEL I.D. # SHORT PLAT IMPR(�+fM4ENT5 1202 <br />91 p � i . a <br />l 9 J SCT ADDRESS: <br />DESCRIPTION OF <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 />4. PER APPROVED PLA14 <br />l <br />d for Construction <br />Date <br />z <br />FINAL INSPCCTION <br />Approve as Constructed <br />Date <br />1—. 1— 1--.. ,._... <br />i:�.•.l r �'7 1•••- 4 i--1 . T7 <br />Uj <br />'E <br />�Y. <br />„ <br />f�y <br />O <br />+�;i <br />FTi cs <br />C•Cl) <br />r <br />w <br />.. <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 />pro erty amaged thereb <br />aZ. , An h rn <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 />