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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: <br />10/8/2012 <br />Public Works Permit #: <br />PW1210-000 <br />Building Permit#; <br />B1210-009 <br />Planning Reference #: <br />Public Works Fee $: <br />$ 2,242.04 <br />Other $: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />3-H LLC <br />7515 SE 71ST ST <br />MERCER WA 98040 <br />IPHON� PHONE: <br />2062361177 <br />TAX PARCEL ID # 28051800303900 SITE ADDRESS: 304 SE EVERETT MALL WAY <br />DESCRIPTION OF PROPOSED WORK: <br />NEW RESTAURANT-PANERA BREAD <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 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 811 F- <br />4. Per approved plans. <br />Your Public Works Inspector is Cliff Lindman. Call him at 425-339-7404 for questions and inspections n <br />TO POSTING I z 13 <br />Approved for Construction <br />Date <br />At INSPEC ION <br />Approved as Constructed <br />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 <br />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 />public property damaged thereby. <br />.> 11 <br />! <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 DILIGENI LY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />