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bsP 65 7i-ds-C3 <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257.8810 AUG 2 6 2ac4 <br />TO POSTING <br />OWNER NAME ANDADDRESSMOP,GAN JIM <br />: <br />7423 BEVERLY BLVD <br />EVERETT WA <br />PHONE: 4253552436 <br />TAX PARCEL I.D.x 00393200102100 <br />DESCRIPTION OF 2 NEW 4-PLE1S <br />PROPOSED WORK: <br />98203 <br />NAME <br />PHONE: <br />Date <br />7; 22; 2003 <br />Public Works Permit # PW0307-033 <br />B0307-034 <br />Buildino Permit # <br />Planning Reference # <br />Public Works Fee S $793.32 <br />Guarantee S <br />!PROJECT ADDRESS: 5717 HIGHWAY PL #BLD 1 a 2- <br />PERMIT CONDITIONS LOT i-% BLOinC 1 OF BEVERLY HILLS <br />DIV. 4 <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. PER APPRtYVED PLAN DATED9-11-03 <br />Apple etlor Co truclion Dale <br />FINAL INSPECTION <br />Approved as Constructed Dale <br />09-30-03 1:04PM <br /># 0307033 <br />OTHER 21.30 <br />PW/RVW 257.34 <br />PW/INSP 514.68 <br /># '80335 <br />OTHER "rr:00.00 <br />TOTAL 7993.32 <br />A OM4738 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />``W <br />r <br />W <br />O <br />0 <br />0 <br />a <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 or <br />othnr righ'•ol-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property tlamag hereby. QQ <br />Signature of Appl,canl DaITI <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 />