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PUBLIC WORKS Date: 6/8/2012 <br />-.Public Works Permit#: PW1206-005 <br />as City of Everett Rib]ic Works Deppartment'.' =! j=:-- <br />3200�Cedar Street ' "- i -.Ri"�15 Building Permit #; <br />Everett, WA 98201 'i Planning Reference #: <br />(425:)h25 8B1.N)� )!-.5 <br />Public Works Fee $: <br />$ 230.49 <br />'H''1.'?h <br />'11i. <br />:';',�'.;'i 9 <br />.y �� Other $: <br />T , <br />o <br />OWNER NAME AND ADDRESS: <br />%-' t .f 'N <br />APPLIC%A�.,. NAME AND ADDRESS: <br />VIRGILJAMES <br />HARV6'EYTRUCKING <br />18631 64TH AVE W <br />{' <br />...- <br />10325faAl'RPORT RD <br />LYNNWOOD WA 98037 <br />of <br />SNOHQMI;SH WA 98296 <br />j <br />�:Ip <br />LL-� -, <br />PHONE: <br />. <br />PFIO.NRt.40 3605684801 <br />TAX PARCEL ID # 00552300300101 <br />SITE ADDRESS: <br />DESCRIPTION OF PROPOSED WORK: <br />SITE IMPROVEMENTS FOR SHORTPLAT <br />(7/16/2012 2:27 PM BES) <br />SHORT PLAT 1202-19-06 <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 NUMI3ER 811 <br />4. Construct per approved short plat. <br />5. Contcat City inspector Cliff Lindmanprior to construction.] <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 />for Con tru ion Date to remove same Upon notice from the City and to replace <br />public property dinaged thereby. j I <br />FINAL INSPECTION Date <br />Approved as Constructed Signature of Appli an Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUE A D THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF ORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />