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PUBLIC ARKS PERMIT • Date: 11/24/2014 <br />Public Works Permit #: PW1411-042 <br />City of Everett Public Works Department <br />3200 Cedar Street Building Permit #; B1409-065 <br />Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public Works Fee $: $ 40.00 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />BEVERLY VILLAGE APTS. LLC <br />110 JAMES ST #110 <br />EDMONDS WA 98020 <br />APPLICANT NAME AND ADDRESS: <br />PHONE: I PHONE: <br />TAX PARCEL ID # 00393700100700 1 SITE ADDRESS: 801 75TH ST SE BLDG 4 <br />DESCRIPTION OF PROPOSED WORK: <br />PUBLIC WORKS FOR BEVERLY VILLAGE APTS <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. Per approved plan. <br />F- <br />2 <br />Your Public Works Inspector is Cliff Lindman. Call 425-339-7404 for any questions and/or inspections. a:'. <br />r—. <br />-•-1 <br />I r'.I <br />•..1.! <br />G...Y <br />pproved for C struction Date <br />FI AL INSPECTI N Date <br />Approved as Cons ructed <br />::;::: <br />:] C ::: <br />tax <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 />ignature 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 />C" j (- � <br />