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Date: 4N 2/2012 <br /> f PUBLIC WORKS PERMIT publicWorksPertniti�: PW7204-007 <br /> City of Everett Public Works Department guilding Permit�F; <br /> 3200 Cedar Street <br /> p: Everett,WA 98201 Planning Reference#: <br /> (a25)257-8810 public Worlcs Fee S: S 0.00 <br /> Other$: <br /> APPUCANT NAME AND ADDRESS: <br /> OWNER NAME AND ADDRESS: MICHAEL BRADY <br /> HAWAIIAN STYLE PRODUCTION 3011 S HUSON ST STE A <br /> �IQ HENATT AVE TACOMA WA 9�09 <br /> EVERETT WA 98201 <br /> PHONE: 4252591338 <br /> PHONE: 2066048570 <br /> TAX PARCEL ID II 00437167301400 SITE ADDRESS: 1011 HEVNTI'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 periomied in accordance with the permit and current City of Everett Design and ConsWctlon Standards <br /> and Specifications• <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLI FREE NUMBER 811 <br /> 4. See notes on plan. <br /> E"� <br /> �, <br /> � <br /> O <br /> z <br /> C�pp� o <br /> � <br /> �SSKe� '� `l ) -12 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersipned ownsdappiicant heroby aprees to hold and <br /> save hartnless the CNy M Everott(rom any and all daims for <br /> damagee,cotta,ezpenus,a eauaea oi aetion tlwt rtwY eriss <br /> because of inatellaUon and maintenencs of the improvement <br /> w other right-ot•way use hsroto applied tor and fuMer a9rees <br /> ro rertave same upon notke irom the Cily�nd ro ropl�ce <br /> Approved for Construction Date pubiie F,openy demaped therobY• <br /> FINAL INSPECTION Date gb�rootApplicenl � <br /> Approved as Constn�cted <br /> WORK AUTHORIZED BY iH15 F=RMIT MUST BE SfAR1ED WC�H�N I80 DAYS OF DATE PERMIT IS�lE��TM�R�����'��Y <br /> PURSUED TO COMPLETION. TFiIS PERMR MAY BE UNCELLED BY THE CfTY UPON IIMf STOPPAGE OF YVORK ON TMIS RtWC�('r OVER 90 DAYS DIIkATI01l <br />