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Pusuc woreKs <br />PERMIT <br />OL <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-W810 <br />Public Works Permit If <br />Building Permit e <br />Planing Reference e <br />Public Works Fee S <br />Guarantee S <br />8/14/2000 / <br />PWOOSS-028 <br />$ 0.90 <br />AND APPLICANT NAME <br />Applied Professional So, <br />640 NW Giluan #100 <br />ISSAQUAH WA 98027 <br />PHONE: I PHONE: (206) 786-8256 <br />TAX PARCEL I.D. a PROJECTADDRESS: <br />California St and Feder <br />PPOPPOSEPpDWO K: Pothole 7 places in City Right-of-way <br />AirNsc ftwste 1rxlr pothole orarwder and tam6rain <br />for drpth <br />PERMIT CONDITIONS <br />1. All calls for Lispection 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 14k10424-5555 <br />4.Provide traffic control as needed refer to city standards <br />701A thru 701L <br />5.Restore potholed areas to original condition. SSUED <br />AUG 16 20M <br />CM OF EVERETT <br />Permit Services <br />AV <br />`W <br />r <br />Z <br />0 <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />i ` <br />The undersigned owner/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 action that may arise <br />% Ior Co s, ction 9 to <br />because of installation and maintenance of the improvement or <br />other d-: -"ay use hereto applied for and further agrees to <br />remov Pon notice the City and to replace public <br />rty a ied ther <br />INAL INSPECTION <br />Approved as Constructed Date <br />p y. <br />�- /G -00 <br />Signature of kppil5ant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN ISC DAYS OF DATE PERMIT IS ISSUE[ 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 />