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Date 3,12,%%OQ7 <br />PUBLIC WORK % <br />Public Works Permit�T,5-Q7Q3"0QQ <br />PERMIT Building Permit # <br />PUBLIC WORKS DEPARTMENT Planning Reference # <br />3200 Cedar Street <br />Everett, WA 98201 Public Works Fee $ <br />(425) 257-8810 <br />Guarantee $ U' <br />OWNER NAME APPLICANT NAME <br />ANDADDRES3^D NEFUp}DEER AND ADDRESS: <br />ST SE <br />EVE <br />PHONE: PHONE: <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />DESCRIPTION OF <br />PROPOSED WORICi�i'Jl `� I' i'<`7` �% T"tL{ 'i �t r }, t�'`i Tom' ( '— r3 r,— - 2 4 <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 1-800-42475555 <br />W <br />PER t h;' °1ED PLAN <br />.--r: <br />�_ z <br />Lny <br />2cCn <br />-' <br />• t mi 4...1 <br />c�' C-71 <br />_.� <br />a <br />Approved for Construction <br />ECTION <br />as Constructed <br />Date <br />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 right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged thereby. <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 MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />EPWP (7/06) DATABAR, INC. <br />