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--PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 9/9/2009 <br />Public Works Permit #: PWO909-006 <br />Buildinq Permit #; <br />Planninq Reference #: <br />Public Works Fee $: $ 3,809.56 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />RON MOIR <br />5902 EAST DR <br />EVERETT WA 98203 <br />PHONE: <br />PHONE: <br />TAX PARCEL ID # <br />SITE ADDRESS: 5902 EAST DR <br />DESCRIPTION OF PROPOSED WORK: <br />SHORT PLAT IMPROVEMENTS <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 the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. PER APPROVED PLANS <br />M <br />n <br />cY <br />" <br />O <br />m y r_r1 ra �f <br />�.,-•. .�, r.a ca <br />� <br />c I r•J <br />�� X_.,_ <br />d <br />r-` C <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 <br />or other right-of-way use hereto applied for and further agrees <br />to remove -same upon notice from the C' and to replace <br />public property dama ed t e by. e_ <br />,a 6_1 <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 <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />