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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />t 3200 Cedar Street <br />"' ursz Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />Chris Johnson <br />4727 Seahurst Ave <br />EVERETT WA 98203 <br />PHONE: 4252803522 <br />'AX PARCEL ID # <br />DESCRIPTION OF PROPOSED WORK: <br />Short plat No.1202-16.07 <br />Date: 4/26/2011 <br />Public Works Permit #: PW1104-016 <br />Building Permit #; <br />Planning Reference*: <br />Public Works Fee $: $ 25.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />Same <br />PHONE: <br />-SITE ADDRESS: 4727 Seahurst Ave. <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. Side sewer connection per standard drawing #601 <br />5. Patch driveway per City standard drawing #316. <br />6. Conctruct per approved plan. <br />'i�'I <br />- •y-;'i <br />i <br />i <br />1 Cs <br />Ot <br />-84 <br />r4� e r.Y <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 />Ap e or onstr a to remove same upon notice from the City and to replace <br />publi ropert aged the y. <br />FINAL INSP TION Date <br />Approved as Constructed ��®� <br />Signature of is t Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS SUED 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 />