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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />00;:7r Everett, WA 98201 <br />425 P 0 257-8810 SE <br />�' 88�IN� 7 2005 <br />MADISON DEVELOPMENT GROUP <br />10510 NE NORTRUP WAY STE 120 <br />KIRKLAND WA 98033 <br />PHONE: 4258899500 <br />" 280518003061011 <br />DESCRIPTION OF PROPOSED WORK: NEW RETAIL BUILDING <br />PERMIT CONDITIONS <br />Date <br />0/30/2004 <br />Public Works Permit a PW0409-036 <br />Building Permit a B0409-051 <br />Planning Reference a <br />Public Works Fee S <br />$1,125.77 <br />Guarantee $ <br />CALLISON KIRK <br />PHONE: 4254.531778 <br />PROJECTADDRESS: <br />1. All calls for inspection 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 1-800-424-5555 <br />4. As per approved plan dated 1-05-05 and the public works inspector's direction in <br />the field. <br />�-5-05- <br />'-gFprovWfor Con tru lion Uate <br />/'�CL✓it/Fy.-=�-- <br />FINAL INSPECTION <br />Approved as Constmcled Date <br />%/—dam <br />01-14-05 10:16AH <br />V/ <br />m <br />Z <br />0 <br />m <br />6907.52 <br />The undersigned owner/applicant heerebBylagrees 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 />trmov <br />e n notice fromeemby_ Date <br />H 501001 <br />BUILD 50.00 <br />SRCHG 4.50 <br />N 409051 <br />BUILD 3252.75 <br />SRCHG 4.50 <br />N 501011 <br />WATER 1200.00 <br />N 501010 <br />SEWER 70.00 <br />WATER 1200.00 <br />N 409036 <br />OTHER 50.00 <br />PW/RVW 35B.59 <br />PW/INSP 717.18 <br />TOTAL 6907.52 <br />ACKNOWLEDGEMENT OF CON1211TiM <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1,80 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGE^'TLY PURSUED <br />TO COMPLETION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGF OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />