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,7 <br />pU6LIC 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 />STEFANOS LLC <br />701 92ND ST SE <br />EVERETT WA 98208 <br />PHONE: 4252103817 <br />AX PARCEL ID # 00437381802500 <br />DESCRIPTION OF PROPOSED WORK: <br />REROUTE SEWER LINE & DRAINAGE WK IN ROW <br />Date: <br />Public Works Permit #: <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />STEPHEN COROTAS <br />701 92ND ST SE <br />EVERETT WA 98208 <br />PHONE: 4252103817 <br />SITE ADDRESS: 3416 BROADWAY <br />12/8/2011 <br />PW1112-002 <br />dY'I't2=-6�7 L �', �� <br />$ 45.00 <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 />FINAL INSPE�ION <br />A roved as onstructed <br />T�>-<� <br />Date <br />/�`�s-1 <br />Dat----- <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 prop �ty damaged thereby. \I <br />, � c l7- <br />� ��/v f �� <br />Signatu e of Applicant Date <br />� <br />pP <br />WORK AUT OOCo�P B�ONISTH SMP RMIT MAY BEACANCELLED BY THE CITY�UPON ANY STO PAGE OF WORK�ON THIS ROJECT OVER 90IDAYS DURATION. <br />PURSUED T <br />