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,_PUBLIC WORKS <br />-Date .4/30/2007. <br />Public Works Permit# ' P510704-062 <br />PERMIT- <br />Building Permit # <br />PUBLIC WORKS DEPARTMENT' <br />Planning Reference # <br />,- - 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Public Works Fee $ $346.50 <br />Guarantee $ <br />OWNER NAME <br />APPLICANT NAME <br />AND ADDRESS: DDDH LLC , <br />AND ADDRESS:SAM <br />P.O.BOX 2223 <br />EXWE ZTT ETA 98203 <br />- <br />PHONE: 477— S �5-0 �j _ q <br />8 <br />PHONE: <br />TAX PARCEL I.D.# <br />PROJECTADDRESS: <br />6 <br />' <br />DESCRIPTION OF* <br />PROPOSED WORK: Short Plat #1202-•27-06 <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 />u„I <br />4. Construct per.plan. <br />. _ - <br />.. .. .tip.) •Y+-:_. `•_ <br />Z <br />t.':! o ­71 <br />cz> <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 po notic o he City and to replace public <br />ope a he b . <br />Sk'nature of Applicant Date <br />WORKAUTHORIZED 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 />