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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: 11 /26/2014 <br />Public Works Permit #: PW1411-046 <br />Building Permit #; <br />Planning Reference #: SS07-039 <br />Public Works Fee $: $ 900.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />VRANJIN BOJAN <br />4105 212TH ST SE <br />BOTHELL WA 98021 <br />PHONE: <br />PHONE: <br />TAX PARCEL ID # 28052900201300 <br />SITE ADDRESS: 2132 116TH ST SE <br />DESCRIPTION OF PROPOSED WORK: <br />TRAFFIC MITIGATION FEE FOR SHORT PLAT <br />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 r— <br />Approved for Construction Date <br />FINAL INSPECTION IDate <br />Approved as Constructed <br />f'7'1�� <br />. <br />*'7 <br />—rp <br />i•--'• <br />�/1 <br />L'r I .(oa <br />Fh <br />�Y Cy <br />v v •.y'J v <br />F--b <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 />Signature of Applicant <br />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 />