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._ as PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />POHLAND TODD & HOLLY <br />314 HEATHER RD <br />EVERETT WA 98203 <br />Date: 10/28/2014 <br />Public Works Permit #: PW1410-027 <br />Building Permit #; <br />Planning Reference #: 1202-07-026 <br />Public Works Fee $: $ 1,800.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: I PHONE: <br />TAX PARCEL ID # 00392000000602 SITE ADDRESS: 7114 BEVERLY LN <br />DESCRIPTION OF PROPOSED WORK: <br />TRAFFIC MITIGATION FOR 1202-07-026 <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 NUMBER 811 <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />, <br />; <br />�;r <br />, <br />:3> M. <br />C <br />r_-a <br />rti� <br />—:] <br />IT7 <br />C <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 />to remove saaieon notic from the City and to replace <br />public property m ereby. <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 <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 />I <br />