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Date 8/27/2007 <br /> PUBLIC WORKS <br /> PERMIT Public Works Permit# Pbd070$-019 <br /> Building Permit# <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 ��•�� <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDRESS: ANDRE Y GUSEV AND ADDRESS: <br /> 4809 80TH ST SW <br /> MUKILTEO 98275 <br /> PHONE: PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: <br /> 5217 EAST DR <br /> DESCRIPTIPROPOSED WORK: SHORT PLAT IMPROVEMENTS 1202-1-07 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <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 1-800-424-5555 W <br /> 4. PER APPROVED PLAN 1 <br /> •T R <br /> ;r7 i'w <br /> V` P c elr /ark 2 `/ _ 1 _ r <br /> rr,rrry ..._!a"i 0 <br /> co <br /> co <br /> F'+-7 CC1 <br /> z <br /> 63, <br /> LA G1 r•.. 0 <br /> {..A `1(....W.W_. :tea <br /> 1 •L-ei••e..Fl• - <br /> O. <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 /> Approved for Construction Date 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 and to replace public <br /> FINAL INSPECTION property damaged thereby. <br /> Approved as Constructed Date �l / 0 S <br /> Signature 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 CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> EPWP(7/06) DATABAR,INC. <br />