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PUBLIC WORK; <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257fepos ' lV <br />Date 9/22/2004 <br />Public Works Permit x PW0409-029 <br />B0409-030 <br />Building Permit a <br />Planning Reference a <br />Public Works Fee $ <br />Guarantee $ <br />$1,229.60 <br />OWNER NAME <br />APPLICANT NAME <br />ANDADDRESS: 4027 HOYT AVE STE 104 <br />AND ADDRESS: <br />EVERETT WA 98201 <br />PHONE: 4253398888 <br />PHONE: <br />�7I�1 <br />TAXPARCELIO.N 00413757320100 <br />PROJECT ADDRESS: ti'0r+ if.ASSAU ST <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours In advance - phone (425) 257-8810 <br />2. All work shall bo performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 firs. before you dig. TOLL FREE NUfv.HER 1.800.424-5555 <br />4. As per the approved plan dated 4/19/05 and the public works inspector's direction <br />in the field. <br />5. Keep city streets clean at all times durning construction. <br />7/2 <br />'FINAL INSPEOTION <br />Approved as Constructed ate <br />r--1 r r 1 r-- r--- <br />to <br />-�3 <br />Fy«� r <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tt <br />W <br />0 <br />Z <br />0 <br />Y / <br />a <br />The undersigned ownerlapplicant 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 or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upo otice from the City and to replace public <br />grope aged ere S /a/Os <br />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 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 />