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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257.8810 <br />OWNER NAME <br />ANDADDRESS F:�onf ��,�� uj) LLr• <br />3601 COL•^ <br />aVc zT DA 90201 <br />PHONE. Q25_59S000 <br />TAX PARCEL I,DA <br />DESCRIPTION OF �1�� <br />PROPOSEDWORK: CLEAR, .Ri1DE, DP.AIiACE SFSM,t; <br />PERMIT CONDITIONS <br />PHONE: <br />PROJECTADDRESS- <br />Date <br />Public Works Permit # <br />POO705-G07 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee S <br />1. 375.00 <br />Guarantee 5 <br />t. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Evere^ Design and Construction <br />Standards and Specifications. <br />NUMBER 1-800-424.5555 <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE <br />`j <br />G. P=R Ai'ilO4GD ELAN <br />— <br />v <br />Q <br />Z <br />5 <br />L <br />lij <br />-S <br />■ <br />v <br />Jll.j pVr <br />i:6 <br />O <br />r <br />Approved for Constnxlion Dale <br />FINAL INSPECTION <br />Approved as ConsIruded Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the City ul 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 />other right-ol•way use 1lereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />prop damaged thereby. /1 <br />S19 at re of Applicant % Dale <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 />I,PWP (7A16) DATABAn. INC. <br />