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� PUBLIC WOEtKS PERM17' Gate: 4/17/2014 <br />Public Works Pcrmit #: PW1404-025 <br />Gty o( Everett Public Works Department <br />3200 Cedar Street Buildinp Permit #; B1312-03C <br />��� �� ���'�•� 5� Everett, WA 98201 Planning Reference #: <br />(425) 257-8810 <br />Public \Norks Fee S: 5 40.00 <br />Other S: <br />OWNER NAME AND ADDRESS: I APPLICANT NAME AND ADDRESS: <br />EVERETT COMMUNITY COLLEGE <br />2000 TOW[R ST <br />EVERETT WA 98201 <br />PHONE: <br />AX PARCELID # 29051700200100 <br />DESCRIPTION OF PROPOSED WO�iK: <br />SID[ SEWER CONNECTION - LCC AMTEC <br />PHONE: <br />SITE ADDRESS: 9U9 N BROADWAY <br />PERMIT CONDITIONS <br />1. All cails for inspeclion shall be made 24 hours in advance. <br />2 i,ll �vork shau be performed in accordance with the permit and current City of Everett Design and Construction Standards <br />and Specdications. <br />3. Call Location Underground S2rvice 4B hrs before you dig. TOLL FREE NUMBER 811 � <br />�5��++yyq� ; �nt, <br />I�It\� <br />as Constructed <br />Date <br />���,,, <br />r �: c <br />'�..�'.+ � .-. <br />a � z <br />ACKNGNII [DG[P;iEPJI OP CONDITIONS <br />1he undcisiyned o�vner/applicant hereby ayiees lo hoW and <br />save harmless Ihe Gly of [=veretl from any and ail da�ms for <br />damages, cosis, expenses, or causes of action Ihal may arise <br />because ot �nstallation and maintenance ol Ihe improvemcnt <br />or other righPof-way use herelo applied for and further agrees <br />to remove same upon notice from the Cily and lo replace <br />public property damaged thereby. <br />/ '/�/ // � L"� � % �y <br />� <br />Sign2ture of Applicant Dale <br />WORK AUTHORR[D DY T}i15 PERMR h1UST BE STARTED IVRHIIJ IBO DAYS OF CATE PERt4R IS ISSUED AND TH[REAFfER IS TO �E DILIGENTLY <br />PURSUED TO C011PlETION. TI1I5 PERNIT MAY �E GNCELLED DY THE CITY UPON ANY STOPPAGE OF K'ORK ON THIS PROJECT OVER 90 DAYS DUfL1TICN. <br />P� <br />