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PUBLIC WORKS <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 />'/7/2008 <br />PNO802-007 <br />$50.00 <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: Donald & Deborah P3c3n1 AND ADDRESS: Barefoot Development L.LC <br />9792 Edmonds way ##314 9792 Edmonds Way #314 <br />Edmonds 1,4a 98020 Edmonds Ta 98020 <br />PHONE: 4252521884 PHONE: 2068189552 <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />1 (1i711 iat- Ftr C W <br />DESCRIPTION OF <br />PROPOSED WORK: short plat 1*1202-33-07 <br />..3 ' water meter fro lot. 2 (10322 Ist. dr S .E. ) <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 />ni 7 n <br />::a-.1 <br />t-a <br />y <br />G7 <br />ft'I <br />Cn <br />L ..? <br />C, <br />r'm <br />1 i <br />r••p <br />IM• L J <br />P <br />as <br />fi• CO �•ra <br />r•..1 rr� Ca <br />F. 0 C, r•..7 r_I <br />C7 4--• L•J <br />•y- <br />G-J <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 />" potL'L -9— <br />Signature of Applicant Date <br />Cn <br />M <br />O <br />�31 <br />O <br />Cn <br />O <br />a <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 />