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Date 7/16/2007 <br />PUBLIC WORKS P140707-023 <br />PERMIT <br />,�- Public Works Permit # <br />Building Permit# D0706-005 <br />PUBLIC WORKS DEPARTMENT 3200 Cedar Street Planning Reference # <br />Everett, WA98201 Public Works Fee $ $50.00 <br />(425) 257-8810 <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: CARLSON DENIMS AND ADDRESS: OWNER <br />PO BOX 5222 <br />EVERRETT rzA 98206 <br />PHONE: 4253473832 PHONE: <br />TAX PARCEL I.D.# 28051700306200 PROJECTADDRESS: 2509 100TH ST SE <br />DESCRIPPROPOSED WORK: STUB OUT SE>nTER LINE/REMCAT DRIVEMAY ON 100TR <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 />W <br />4. Install side sewer per City Standards 601,602 & 604 <br />5. Keep City streets clean at all times <br />306 <br />& 305A. <br />Rgpa>�,_�y <br />N <br />6. Re -install sidewalk & curb on 100th St SE per City Standards <br />broken sidewalk as needed <br />a r S], <br />�_ <br />O <br />c <br />H- <br />i <br />Cn <br />POP <br />a <br />7 /6 0 <br />AppKved for Construction D to <br />as Constructed Date <br />�! <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 />prqpe-rty-,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 />