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PUBLIC WORKSIN <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. WA 9822q0071 <br />(425) 257-—, JAN 2 2 <br />OWNER NAME APPLICF <br />AND ADDRESS: PO BOY. 21 AND AD'. <br />MUKILTEO 98_75 <br />4252524522 <br />PHONE: PHONE: <br />PROJECT <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit # <br />Building Permit If <br />Planning Reference # <br />Public Works Fee $ <br />PO BOX 21 <br />MUKILTEO <br />4252524522 <br />11/14/2005 <br />PA0511-023 <br />$0.00 <br />98275 <br />a <br />1. All calls for inspection shall be made 24 flours in advance -phone (425) 257-8810 <br />2. All wurk 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 />4. PER CITY STANDARDS <br />Approved for Construction - Date <br />I <br /><^ j <br />FINAL INSPECTIO1 <br />Approved as Constru d Date <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 />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City an�p replace public <br />property damaged th <br />/z /s <br />i J <br />IF �S�gnature of Applicant 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 �ITY UPON ANY STOPPAGE OF WORK, ON THIS PROJECT OVER 90 DAYS DURATION. <br />