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ri <br />PUBLIC WORKS " <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: ALFREtD, LTIj$SE AND ADDRESS: <br />1821 19TF UFO <br />MUKILTE0 98275 <br />9/26/2006 <br />Date <br />P140609-.026. <br />Public Works Permit # ' <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $- <br />Guarantee $ <br />PHONE: 4252394027 PHONE: <br />TAX PARCEL I.D.# PROJECTADDRESS: 1414 E - CASINO <br />DESCRIPTION OF <br />PROPOSED WORK: SHORT PLAT IMPT-WI/EbENTi 1 02-22-06 , <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 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 />. <br />4 > PEFt 3,22RCACH D PLAINS <br />' .. <br />,';'1 <br />C> r-Y7 G?l <br />- <br />.ter •"' •� <br />�b o <br />i�•2 <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 />--40:�Z damages, costs, expenses, or causes of action that may arise <br />Approved or Construction Date because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove sapRe uponInAge from the Ci and to replace public <br />F SPECTION grope a edy. ^` <br />pproved as Constructed Date <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 />