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�� PUBLIC WORKS PERMIT oate: ���s�zo�2 <br /> < �. ,�,.PublicWorksPermit#: PW1201-005 <br /> Ciry of Everett Puqlip Works Depertment ,,,•, guildinp Permit#; K1201-005 <br /> 3200 G'ed�r Street <br /> Everett, VyA 98201 �plannin!� Reference#: <br /> (425)'257-8610�'''���''' <br /> Public Works Fee$: $ 45.00 <br /> ;;,; <br /> ' ' Other $: <br /> OWNcR NAME/1ND ADDRESS: �� APPCI_CANT NAME AND ADDRESS: <br /> ; !I 2ill <br /> EMERALD FIRE L.LC - ,�, r��� EMERALDFIRE LLC <br /> 11021 CRAMER RD KPN ,'��021`CRAMER RD KPN <br /> � GIG HARBOR WA 98329 <br /> GIG HARBOR WA 98329 �'� '�i . <br /> PHONE: 2538572056 PHONE: 2538572056 <br /> TAX PARCEL ID# 28042400200100 SITE ADDRESS: 10011 EVERGREEN WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> DOUBLE CHECK DETECTOR VALV[-HOBR'! L068Y <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in ac.^.ordance with the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 817 <br /> �. � <br /> CONTACT RANDY ALLEN AT 425-339-7403 FOR QUESTIONS AND INSPECTIONS � <br /> r� <br /> � <br /> � <br /> ti <br /> � <br /> H <br /> �vo�: U�Ol�i3' ii�Si�� c��i`�N .z�c�i�i�� a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned cHner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of adion that may arise <br /> �� because of installation and meintenance of the improvement <br /> /2,5(�� or other right•of-way use herelo applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Construction Date public property damaged thereby. <br /> 77���4J.5'LOBy <br /> .�•cs�ifl�J Z-8 -/z ' �.�(,�/ <br /> FINAL INSPECTION Date <br /> Approved as Constructed Signature of �licant Date <br /> WORK AUTHORIZED BY TH[S PERMif MUSI'BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS[SSUED AND THEREAFfER IS TO BE DIUGENTLY <br /> PURSUED TO COMPLE770N. THIS PERMR MAY BE CANCELLED BY THE CIfY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />