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PUBLIC WORKS <br />Date 8/17/2005 <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />00 T 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Public Works Permit # PGJ0508-028 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $50.00 <br />Guarantee $ <br />OWNER NAME STEVE FRENCHAPPLICANT <br />NAME <br />AND ADDRESS: 7016 CADY RD <br />AND ADDRESS: <br />EVERETT FAA <br />98203 <br />PHONE: 4257544768 <br />PHONE: <br />TAX PARCEL I.D. It <br />a m <br />PROJECTADDRESS: 7fJ16 C,r'DY RD <br />DESCRIPTION OF <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 />4. PER APPROVED PLAY <br />I.....0 4-.0 <br />C.— <br />S <br />W.r., <br />:-MD �A , <br />�, G"7 <br />M�pp�^yyi <br />C5 Mfr5 <br />r••;,a <br />C=i <br />PI <br />C� CF7 <br />C... �y E_•_„ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />-n- <br />7 <br />In <br />0 <br />�31 <br />0 <br />F- <br />Cn <br />0 <br />(L <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 />ignature 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 />