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�� T <br />PUBLIC 1iVORK� PERMIT <br />City of Everett Public V':�rks Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />�ate: 11 /1 /2011 <br />Public Works Permit #: PW1111-002 <br />Buildinq Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other $: <br />B1108-025 <br />$ 45.00 <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDP.ESS: <br />EVERGREEN BUILDING MGMT DAVID LEE <br />5936 6TH AVE S 2126 N.W. 204TH ST <br />SEATfLE WA 98106 SHORELINE WA 98177 <br />PHONE: PHONE: 2068176081 <br />TAx PARCEL lo # 2805070030G100 SITE ADDREss: 7815 EVERGREEN WAY <br />DESCRIPTION OF PROPOSED WORI': <br />OUTSIDE GREASE INTERCEPTOk ��R HONG KONG MARKET �j <br />CF—��r�t2C'vt li1a141VIGLl�I;�Yj� ILR(N� <br />a� �i�s; tieaS> <br />PERMIT COtJDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. Ali wor: shall be perfonned in accordance with fhe permit and current City of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Undergroimd Service 48 hrs befure you dig. TOLL FREE NUMeER 811 � <br />4. CONSTRUCT PER APPROVED PLAN. <br />J� l �1� <br />;;i, <br />�'.'. <br />i; . _ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless Ihe City of Everetl from any and all ciaims for <br />damages, costs, expenses, or causes of aclion thal may arise <br />because of installation and maintenance of the improvement <br />or other right-of-way use hereto aoplied for and further agrees <br />lo remove seme upon notice irom Ihe Ciry and to replace <br />public property damaged thereby. <br />F NSPECTION Date , -� <�—� / �� � /' � <br />Approved as Constructed 3—�q �� Signature of�lpplicant Date <br />WORK AUTHORiZED BY THIS PERh1IT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMCf IS ISSUED AND THEREAFfER [S TO 8E DILiGENTLY <br />PURSUED TO COMPLEftON. THIS PERMIT MAY BE CANCELLED BY THF CifY UPON ANY STOPPAGE OF N.�ORK ON THIS PRO]ECf OVER 90 DAYS DURATION. <br />