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PUBLIC WORDS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />2/19/2008 <br />P90602-0 i4 <br />50a00 <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: Rlyan Y. nicer AND ADDRESS: R- -aD <br />7115 14organ Road 711+ t ozgarrt Road <br />Everett a 98203 Everett €3a 98203 <br />PHONE: 4252317292 PHONE: 4252317292 <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />DESCRIPTION OF <br />PROPOSED WORK: Short plat 1202-29-07 <br />3/4" water for lot 2 (7113 Morgan Road) <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. Con5t_uut per plan <br />Approved for Construction Daie <br />FINAL INSPECTION <br />Approved as Constructed Date <br />^� A? r;- <br />ITi � 1't"{ <br />Cam'. <br />�xr <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 />W <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 />