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PUBLIC WORKS Date 8/3/2005 <br /> Public Works Permit# PN050$-006 <br /> PERMITBuilding Permit# <br /> 41677 PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ $5 0,0 0 <br /> (425)257-8810 <br /> Guarantee$ <br /> OWNER NAME JIM SCHRADER/BILL CHURCH. APPLICANT NAME <br /> AND ADDRESS: AND COLBY AVE AND ADDRESS: <br /> EVERETT WA 98206 <br /> PHONE: 4252523937 PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: 3710 COS Y AVE <br /> NEW P'1r'J ING AREA <br /> DESCRIPTION OF <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance- phone (425)257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 11.11 <br /> 4. PER APPROVED PLANS <br /> LLII <br /> 0 <br /> LI <br /> y71 <br /> t t'i <br /> l;7 <br /> Mnt n <br /> �....o Y.•A <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 /> Approved for Construction Date damages,costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement or <br /> other right-•f-wa use hereto applied for and further agrees to <br /> rem.-: s. e .• notice from the City and to replace public <br /> FINAL INSPECTION pr..- .q m.•-. thereby. <br /> Approved as Constructed DateA. e/( / <br /> g <br /> Signau'fo 'fplicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />