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PUBLIC �ORKS PERMIT � Date: 4/24/2014 <br /> Public Works Permit#: PW1404-033 <br /> Ciry of Everett Publ�c Works Department <br /> .-� 3200 Cedar Streel Buildinq Permit#; C1403-Q�8 <br /> Everett, WA 9820t Planning Reference#: <br /> (425)257-8810 <br /> P�blic Works Fee$: $ 900.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> NGUYEN MINH THI THU <br /> 9205 4TH AVE W <br /> EVERFTT WA 98204 <br /> PHON(:: PHONE: <br /> TAX PARCEL ID� 00439074101300 SITE ADDRESS: 3128 BROADWAY UNIT B <br /> DESCRIP710N OF PROPOSED WORK: <br /> TRAFFIC MITIGATION FOR NEW TOWNHOUSE <br /> PERMIT CJNDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advanCe. <br /> 2. All work shall be periormed in accordance with the peimit and current City of Everetl Design and Consiruction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER E11 <br /> W <br /> H <br /> � <br /> � <br /> � <br /> Q <br /> �"J <br /> z <br /> � � MC� ° <br /> F <br /> APR 2 4 2014 � <br /> O <br /> a <br /> CiTY OF �_'VEIL�T'1' <br /> !'crm;t Seiviccs <br /> AI;KiVOWLEUGEMENT OF CONDITIONS <br /> Tlie undersigned owner/applicant hereby agrees to ho�d and <br /> s:�ve harmless the City of Even;tt from any and all claims for <br /> damages,costs, expenses, or causes o(action that mriy arise <br /> because of inslallation and maintenance o(the improvement <br /> or other righ4of•way use hereto applied for and fuAher agrees <br /> F�pproved for Construction Date to remove same upon notice from the City and to replace <br /> public property damaged iherr.by. <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMR MUST BE SfARTED WITHIN 180 DAYS Of DATE PERh7if IS 155UED AND TFiEREAFfER IS TO BE OIIIGENTLY <br /> PURSUED TO COMPLEl70N. TMIS PEIiMif MAY BE UNCELLED BY THE CfTY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> ��i �� <br />