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Date <br />PUBLIC WORKS <br />Public Works Permit # <br />PERMIT <br />Building Permit # <br />-47T PUBLIC WORKS DEPARTMENT <br />Planning Reference # <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Public Works Fee $ <br />Guarantee $ <br />10/12/2007 <br />P140710-011 <br />$25.00 <br />OWNER NAME <br />APPLICANT NAME <br />AND ADDRESS: <br />Todd pohland <br />AND ADDRESS: Same <br />314 heather Rd <br />everett Wa 98203 <br />PHONE: <br />PHONE: <br />TAX PARCEL I.D.# <br />PROJECTADDRESS: <br />7114 Beverly Ln <br />DESCRIPTION <br />PROPOSED WORK: <br />Short plat 1202-26-07 <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 />4. Construct per plan. <br />M <br />O <br />z <br />O <br />O <br />a <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 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 />