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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 1 /16/2014 <br />Public Works Permit #: PW1401-009 <br />Building Permit #; <br />Planning Reference #: 1202-07-039 <br />Public Works Fee $: $ 408.83 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />VRANJIN BOJAN <br />4923 211TH ST SE <br />BOTHELL WA 98021 <br />PHONE: 4254714519 PHONE: <br />TAX PARCEL ID # 28052900201300 SITE ADDRESS: 2132 116TH ST SE <br />DESCRIPTION OF PROPOSED WORK: <br />SHORT PLAT IMPROVEMENTS 1202-2007-039 <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 />4. Per approved plan dated 8/19/2008. <br />Your public works inpsector is Cliff Lindman. Please call (425)257-7269 for any inspections or estiQ_� <br />w <br />C <br />F I- <br />411 <br />%.CO <br />1� <br />UJ � : •.) e Tl <br />i �.:.� <br />LPJ LP, 68 <br />A�p`proved for Construction Date <br />CINSPECTIOtd-- Date <br />roved as Constructed /0 —' 3 —",;, <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 same upon notice from the City and to replace <br />public property damaged thereby. <br />�- 1 13(1 1-t± I <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 />A <br />