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PUBLIC WORKS <br />PERMIT <br />ooi:77 <br />OWNER NA OLLTS <br />AND ADD <br />L <br />PO BOX 309 <br />CLINTON <br />PHONE: <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />98236 <br />APPLICANT NAME <br />AND ADDRESS: <br />PHONE: <br />Date 4/12/2006 <br />Public Works Permi?FO 60 4— 0 14 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $35 .00 <br />Guarantee $ <br />TAX PARCEL I.D. # PROJECT ADDRI~SS:, . <br />3. , ti SFif:.fr, ICY <br />DESCRIPTION RPRT PL"-T Ii4PRO'�aIENT:S 1202-29-05 <br />PROPOSED WO <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, SIrXE SENER., DP.PZNAGE AND UTILITY riPaNCHITIG <br />Approv for onstruction Date <br />FINAL INQYECTION <br />Approved as Constructed Date <br />m <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />0 <br />z <br />0 <br />F— <br />(n <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 ri ht-of-way use hereto applied for and further agrees to <br />remove me ypon noticefrom the City and to replace public <br />ro ert ma2e4 t reb . <br />Date <br />(3-66 <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED XULItHEREAFTER 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 />