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PUBLIC WORKS PER��IT Date: 7/13/2012 <br /> Public Works Permit#: PW1207-009 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Buiidinci Pertnit#; <br /> Everett,WA 9a201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 25.00 <br /> Other $: <br /> OWNER NAME AN�ADDRESS: APPLICANT NAME AND ADDRESS: <br /> LANCE HARVEY TRUCKING SAME <br /> 10325 AIRPORT WAY <br /> SNOHOMISH WA 98296 <br /> PHONE: 4257547222 PHONE: <br /> TAx PARCEL ID# SITE ADDRESS: 10130 DAKOTA WAY <br /> DESCRIPTION OF PROPOSED WORK: <br /> SHORT PLAT 1202-2011-007 I�cr� I <br /> (7/13/2012 2:52 PM BES) <br /> CONSTRUCT PER APPROVED SHORT PLAT DRAINAGE PLAN. <br /> PERMIT CONDITIONS <br /> 1. All calis for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with the permit and current Ciry of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Conctruct per approved short plat drainage plan. 240 sq.ft. of trench bottom area fro this lot. <br /> 5. Contact Ciry inspector Cliff Lindman 425-339-7404 prior to construction.. W <br /> ' ��� � <br /> , ,�"�'c-� C/� <br /> ��: . <br /> �� Y <br /> � <br /> O` <br /> r, <br /> O <br /> �T^ <br /> Vl <br /> O^ � <br /> �1 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/appli�:ant hereby s3rees to hold and <br /> save harmtess the Ciry 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 <br /> - _ ��i / �� or other right-of•way use hereto applied for and further agrees <br /> - to remove same upon notice from the City and to replace <br /> p��oved fo�Const cti ate public pro Ay damaged thereby. <br /> . �/ <br /> INSPECTION Date ���"�l� <br /> Approved as Constructed � - O-� Signalure A licant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARiED WITHIN I60 DAYS OF DATE PERMCf I UED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEfION. THIS PERMR MAY BE CANCELLED BY THE CITY UPON ANY STOPP F WORK ON THIS PRO]ECT OVER 90 DAYS DURATlODL <br />