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'�'� PUBLIC WORKS PERMIT Date: 3/19/2010 ` <br /> Public Works Pertnit#: PW1003-012 <br /> City of Everett Public Works Department guilding Permit#; 81003-017 <br /> ��- 3200 Cedar Street <br /> ;, ` Everett,WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee$: $ 532.77 <br /> Other$: <br /> OWNER NAME AND ADDRESS: � APPLICANT NAME AND ADDRESS: <br /> PUGET SOUND KIDNEY CENTER BOTESCH NASH HALL <br /> 1005 PACIFIC AVE <br /> EVERETT WA 98207 <br /> PHONE: 4252595195 PHONE: <br /> TAX PARCEL ID# 00437572301600 SITE ADDRESS: 1019 PACIFIC AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> NEW BUILDING-PS KIDNEY SENTER <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pertarmed in accordance with the permit and current City of Everett Design and Construcfion Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> �: ,_.,_. . -� � � F <br /> ���:��5 r-ED � I� <br /> � P�GI a.-�.�-o.�-. � � <br /> � � �' �u 3 u3�G G� � /y� <br /> .� �; � O <br /> ,�� F��,�1��G 3 � ,� ti <br /> � �� <br /> � z.a r <br /> G <br /> ��� .: <br /> y� . a�va � <br /> ��'-�+���m.c� � <br /> ���iO�J�G•! O <br /> rnarr�.e <br /> ��• ^ <br /> 11 <br /> �� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save hartnless lhe City of Everett from any and alI claims for <br /> damages,cosis,ezpenses,or causes of action that may arise <br /> �— because of installation and maintenance of the improvement <br /> /',I�f � ��C��•�'�/� or other right-of-way use hereto applied for and further agrees <br /> G�!=- to remove same upon notice from lhe City and to replace <br /> Appro4 g or ons u io� Date public property damaged lhereby. <br /> / \�_-'��( _[��// �2'�S'�C7 <br /> FINAL INSP TION Date <br /> Approved as Constructed Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT tSISSUED AND TNEREAFTER IS TO BE DILTGENTI.Y <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CA�CELIED BY THE CI1Y UPON ANY Sl'OPPAGE OF WORK ON 7HI5 PRO]ECT OVER 90 DAYS DURATIOK <br />