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Pue�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett. W� 98201 <br />(425) 257•8810 <br />OWNERNAME Don For�ythe <br />ANDADDRESS: 7�10 H1gI1]dild D[1VQ <br />Evetett � <br />PHONE: QZ�JZ6�O82� <br />iAA PARCEL LD. M <br />P40NE: <br />DESCRIPTIUNOF Level a�ea next to coad and pave <br />PROPOSED WORK: <br />PEFiMIT CONDITIONS <br />Date <br />Public Works Permit N <br />Builtling Pertnit M <br />Planning Relerence M <br />Public Works Fee 5 <br />Guarantee S <br />7210 Aiqhland Drvie <br />4/2/2004 / <br />Pii0904-001 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be periormed in accordance with this permit and current City of Everett Design and Conslruction <br />Standards and Specilications. <br />3. Call Location Underground Service 40 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />545.00 <br />4. ]10 pe[ appcove�i plan dated 4-2-04. <br />5. City atreeta ahall be kept clean ar all tiies durning conatruction. <br />6. Call tAe public wcka inapectoc at 925-334-7403 foc a teeting at the eite pcior to <br />bAginning v�rk. <br />�, t"'u� � n i n� t,cirt I� vto-4. � e-�cc� 3' 1.. � c.� y��. <br />, � ,� . <br />�, . <br />'+ ,.:'.�..,41,1i <br />i" _'t 45.00 <br />3-i!'�;� 45.00 <br />A ;'i��0� <br />W <br />� <br />,�A <br />V! <br />� <br />7 <br />Z <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />savc harmless the Ciry ot Everett Irom any and all claims lor <br />damages, wsts, expenses, or causes of action thal may anse <br />because of installation and ' tenanc f the improvement or <br />other ri Fway use h o a li r and further agrees to <br />remo s me upon ice f i t ity and to replace public <br />�i <br />—� <br />Data <br />WORK AUTIIOFlIZE� OY THIS PERMIT MUST BC STARTEO WITHIN 180 DAVS OF DATE PERh11T IS ISSUEU AND THEREAFfER IS TO BE OILIGENTLV PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLEO AY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT O��ER 90 DAYS DURA710N. <br />