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,�"�, <br />v+� �� ;. r7- <br />PUBLIC WORKS PERM17 <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />53RD AVENUE WEST LLC <br />677 120TH AVE N.E.#2-A <br />BELLEVUE WA 98005 <br />PHONE: 2066506770 <br />'AX PARCEL ID # <br />DESCRIPTION OF PROPOSED WORK: <br />CONSTRUCT PER APPROVED SHORT PLAT <br />(7/18I2012 10:39 AM BES) <br />CONSTRUCT PER APPROVED <br />SHORT PLAT 1202-40-07 <br />Date: 7/18I2012 <br />Public Works Permit #: P�N1207-018 <br />Buildinq Permit #; C��� 7_� I z <br />J <br />Planning Reference #: <br />Public VVorPs Fee S: 5 25.U0 <br />Other �: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: <br />SITE ADDRESS: 4501 GRAND AVE. <br />J�`FlL� �;CI�G <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 liours in advance. <br />2. All work shall be performed in accordance with the permit and current City of Everett Desion and �onstruclion Standards <br />and Specifications. <br />3. Call Location Underground Service 48 hrs before you diq. TOLL FREE NUMBER 811 � <br />4. CONSTRUCT FER APPROVED SHORT PLAT. <br />TO POSTING � � °� 13 <br />ACKNOWL[DGEM[NT OF CONDITIONS <br />The undersigned ownedapplicant hereby agrees to hold and <br />save harmless lhe Cily of Everelt (rom any and all clalms for <br />damac�es, wsts, expenses, or causes of action Ihat may arise <br />because of installation and mainlenance of Ihe improvemenl <br />or olher right-of-way use hereto applied tor and furiher agrees <br />to remove same upon notice from the City and to replace <br />public properly damaged thereby. <br />��FM^- r,.,.,��i�uL % i S� � i �'Z <br />Sic�naWre of Applicant <br />Date <br />�;'ORK AUTHO!iV[D BY THIS PEfih11T h1UST 6[ STARTCD l"JITIIIN 180 DAYS Of- DAT[ PERPStT 15ISSUED �ND THEREAFTER IS TO BE DiLiGENTLY <br />PURSUfD �i0 COFIPLETION. THIS PFRPIII" h1AY 6[ UNCFLLED f3Y THF CI7Y UPON ANY STOPPAG[ OF WORK ON THIS PROJ[Ci OVER 90 DAYS DURATIO�d. <br />