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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 />OWNER NAME AND ADDRESS: <br />MESSAK NABIL N & MASSOUD <br />PONOX 544 <br />LYNNWOOD WA 98036 <br />Date: 6/8/2012 <br />Public Works Permit #: PW1206'004 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 368.91 <br />4,rr-i c 4. Other $: q oo <br />APPLICANT NAME AND ADDRESS: <br />OWNER <br />PHONE: 4257727981 I PHONE: <br />ITAX PARCEL ID # SITE ADDRESS: 11218 2nd AVE. <br />DESCRIPTION OF PROPOSED WORK: <br />SHORT PLAT 1202-2012-002 <br />(6/8/2012 4:18 PM BES) <br />ONE 3/4" WATER SERVICE FOR LOT-2 <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 05/30/2012. <br />_..r,t <br />,.,,,fit <br />.Z. f <br />X .r.. <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 />/B or other right-of-way use hereto applied for and further agrees <br />for Cons Ion Elate to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />FINAL INSPECTION Date ^p�' �✓ a 6 z� <br />Approved as Constructed 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 />