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-t PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />HEILMAN TYLER <br />PO BOX 12381 <br />EVERETT WA 98206 <br />PHONE: <br />TAX PARCEL ID # <br />DESCRIPTION OF PROPOSED WORK: <br />SHORT PLAT 1202-25-07 <br />1 -- 3/4 inch water service to be installed Lot 2. <br />1 --1 inch water service to be installed Lot 3. <br />Date: 11 /5/2009 <br />Public Works Permit #: PWO911-005 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 45.00 <br />APPLICANT Nj <br />HB LLC <br />PO BOX 2565 <br />EVERETT <br />PHONE: <br />'c lid, Other $: <br />E AND ADDRESS: <br />h_ •:_ R <br />SITE ADDRESS: 726 90TH ST SW <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. CONSTRUCT PER APPROVED PLAN 11-16-2009 <br />J <br />ifor <br />FINAL INSPECTION Date <br />Approved as Constructed <br />w <br />i� <br />O <br />h <br />C) <br />a <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 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 />