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PUBLIC WORKS PERMIT Date: 4/12/2012 <br /> Public Works Permit#: PW1204-007 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> rr Everett, WA 98201 <br /> Planning Reference#: ,r <br /> (425)257-8810 <br /> Public Works Fee$: $ 0.00 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> HAWAIIAN STYLE PRODUCTION MICHAEL BRADY <br /> 11649 HEWITT AVE 3011 S HUSON ST STE A <br /> EVERETT WA 98201 TACOMA AWA 98409 <br /> PHONE: 4252591338 PHONE: 2066048570 <br /> TAX PARCEL ID# 00437167301400 SITE ADDRESS: 1011 HEWITT AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> BORE HOLES IN SIDEWALK <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 <br /> 4. See notes on plan. <br /> w <br /> PQ <br /> C <br /> z <br /> C <br /> C <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 /> f-70 /2- 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 /> Approve or Construction Date public property damaged thereby. <br /> /1. <br /> FINAL INSPECTION Date a t <br /> Approved as Constructed 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 <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 />