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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />Date 9/ 19,/2 on 6 <br />Public Works Permit # PNO 60 9— 02 0 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $1 F 00 0 . 7 G <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: PAUL rPJgS —A AND ADDRESS: <br />4204 RUSSELL Rig SUIETER t-t <br />MT.T?LTE0 98275 <br />PHONE: A-254931451 PHONE: <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />DESCRIPTION OF <br />PROPOSED WORK: SHORT PLAT 1IMP'RCi EMENTS .j 20 2— 6— 0 6 <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 <br />W <br />4. PER APPROVED PLANS <br />M <br />�••1� f�i .LY <br />�T ..j <br />T' <br />�xW <br />r v I <br />.... <br />'r'_ T c:_7 <br />Pi <br />r .• j <br />��jaa <br />i E.. <br />r 1 <br />01 <br />4.,••.I .� 1. .a <br />••-. <br />i�ri <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 ap lied for and further agrees to <br />remove sa otic the City and to replace public <br />property <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 />EPWP (7/06) DATABAR, INC. <br />