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Date., 4/112001 <br />PUBLIC WORKS. <br />Public Works Permit# P90704-029 • <br />PERMIT Building Permit # <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar. Street Planning Reference#' <br />Everett, WA 98201 Public Works Fee $ $ 4 , 02 8.92 <br />(425)257-8810 <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: DENNI-S BORUP AND ADDRESS: <br />12915 27TH DR SE UNIT •B <br />EVERETT WA 98208 <br />PHONE: PHONE: <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />1823 HOLLOW DALE PL <br />DESCRIPTION OF <br />PROPOSED WORK: SHORT PLAT IMPROVEYIENTS 06-04 <br />PERMIT CONDITIONS. . <br />1. All calls for inspection shall be made 24 hours in advance.,. <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 W <br />4. PER APPROVED PLANS <br />... • -:T ..i.T-i Cn <br />—4, rrl <br />F -v.i......y. � ...r.,...,..? O <br />Iva= <br />FvkE ,ily; e�•.�:: <br />.. _ - ...:y tt'y,� ,w. •:fir "r_" <br />k JCl) <br />E� a <br />i S <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 />Approved for Construction . Date damages, costs, expense of action that may arise <br />betaye of installati and maintenan a of the improvement or <br />oth f rht of -way se hereto applie or and further agrees to <br />reyi�iov4 same up notice from th nd to replace public <br />INSPECTION �perEy damaged ereby. <br />Approved as Constructed Date JJ <br />Signature of Applicant Date <br />'WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1,80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS T BED LIGENTLY'PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED -BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT'OVER 90 DURATION. <br />EPWP (7/06) DATABAR, INC. <br />