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� <br />�� <br />PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 4/16/2014 <br />Public Works Permit #: PW1404-024 <br />Buildinq Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 40.00 <br />Other $; <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />SNBL USA LTD <br />16203 121 ST AVE NE <br />BOTHELL Wq 98011 <br />PHONE: PHONE: <br />TAX PARCEL ID # 28040200301000 SITE ADDRESS: 6605 MERRILL CREEK PKWY <br />DESCRIPTION OF PROPOSED WORK: <br />WASTEWATER TREATMENT IMPROVEMENTS-SNBL USA <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 plan. <br />Approved or Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />��r` ..��/� � <br />V� � �7 <br />F„^. ��,t Ir'h <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 />/��_ __���--,� �J� �C:I j —/ 5l <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 />r �) <br />