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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />TA OncTIlvf! MAR 26 <br />OWNER NAME AND ADDRESS: <br />BOEING COMPANY <br />PO BOX 3707 MS 1 F 09 <br />SEATTLE WA 98124 <br />Date: 8/4/2011 <br />Public Works Permit #: PW1108-003 <br />Building Permit #; <br />Planning Reference #: <br />Public Works Fee $: $ 22,500.00 <br />117 Other $: <br />APPLICANT NAME AND ADDRESS: <br />ASTEMBORSKILEONARD <br />PHONE: I PHONE: 4258762594 <br />TAX PARCEL ID # 28041000100200 SITE ADDRESS: 3003 W CASINO RD <br />DESCRIPTION OF PROPOSED WORK: <br />NEW PARKING LOT <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 />d S ecifications <br />an p <br />3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br />4. CONSTRUCT PER APPROVED PLAN. <br />W <br />F <br />C <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agree: 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 -wary use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />Approved for Co <br />1 :'on ate public properly gad thereby. <br />I SPECTION Date ` <br />\ Approved as Constructed 3'� —� 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 B.: DILIGENTLY <br />N <br />—...., mum c nu r tc oFaMrT MAYBE WJCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATI <br />