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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 9/20-/ 2006 <br />-'Public Works, Permit # M 69 .21 <br />Building Permit <br />Planning Reference#, <br />Public Works Fee $ � 483 , 43 <br />Guarantee $ <br />OWNER NAME <br />APPLICANT NAME <br />AND ADDRESS: LEVOTJ Ft,APAPIAN , <br />AND ADDRESS: <br />5 n 15 ALY,.T DR <br />EVERET°T T4A 98203 <br />PHONE: <br />PHONE: <br />TAX PARCEL I.D.# <br />PROJECT ADDRESS: <br />6Co0-1 CADY RD <br />DESCRIPTION OF' <br />PROPOSED WORK: vF?ORT PIs'r§T 1MP_R<YsaW,14E. PIS 1202-15-0 - <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 hrsr before,you"dig. TOLL FREE NUMBER ir800-424-5555 <br />4. PER.' YPRUVED PLATS <br />CD <br />r h <br />i <br />Ire _ <br />E, an <br />ND <br />O <br />1-71 <br />•. �: rCY-. <br />cc3CXI <br />Cn <br />r-A <br /><.� <br />0 <br />Appr d for Construction Date <br />4" 3 0 <br />FINAL INSP TION <br />Approved as Constructed Date <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 rig -of -way -use hereto applied for and further agrees to <br />remov same upon notice 'dl� the City and to replace public <br />rty damaged thereb . <br />r <br />d <br />Signature of Applic t Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE'PERMIT IS ISSUED AND, HEREA ER IS TO BE DILIGENTLY PU SUED <br />TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJEG OVER 90-DAYS DURATION. <br />EPWP (7/66) DATABAR, INC. <br />