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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 />r <br />OWNER NAME AND ADDRESS: <br />PAUL V.KORENOVSKY <br />4231 SOUTH 3RD AVE. <br />EVERETT WA 98203 <br />PHONE: 4252604376 <br />Date: <br />5/20/2015 <br />Public Works Permit #: <br />PW1505-035 <br />Building Permit #; <br />PW1209-022 <br />Planning Reference #: <br />Public Works Fee $: <br />$ 9,341.25 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PAUL V. KORENOVSKY <br />4231 SOUTH 3RD AVE. <br />EVERETT WA 98201 <br />PHONE: 4252604376 <br />TAX PARCEL ID # I SITE ADDRESS: 8119 FLORIDA DR <br />DESCRIPTION OF PROPOSED WORK: <br />Frontage Improgment Payment for Short Plat <br />#1202-2010-008 <br />a ;L� 'Pt eQ s-2 <br />Frio kdoe <br />Zpip`,p Ve <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be ma 24 hours in advance. <br />2. All work shall be performed in accor nce with the permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrslZefore you dig. TOLL FREE NUMBER 811 <br />Fee to be Paid is $9341.25 <br />Appr ed for Construction Pate <br />FINAL INSPECTION Date <br />Approved as Constructed <br />ACKNOWLEDG ENT OF CONDITIONS <br />The undersigned owner/applid nt OF <br />agrees to hold and <br />save harmless the City of Evere from any and all claims for <br />damages, costs, expenses, or cau s of action that may arise <br />because of installation and maintena ce of the improvement <br />or other right-of-way use hereto applie for and further agrees <br />to remove same upon notice from the CilXand to replace <br />public property damaged thereby. <br />Signature of Applicant <br />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 />ppk'cak, <br />