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e�i <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee S <br />Guarantee $ <br />OWNER NAME <br />APPLICANT NAME <br />ANDADDRESS_:$INSON JOHN G 6. DELORES 14 <br />ANDADDRESS:-.. .7„L NOFZZ-GIST <br />1E15 W MIXILTE0 BLVD <br />18SiO5 E4TH AtM' S <br />E\WXTT AA 4F,., _ <br />RENT �A <br />PHONE: 4251438602 <br />PHONE: 4252>G1Ec35 <br />__- <br />TAX PARCEL I.D.# <br />PROJECTADDRESS: <br />DESCRIPTION OF <br />PROPOSEDWORK: PE STABILIZATION <br />PERMIT CONDITIONS <br />1. 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 Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Work to be done per plans engineered by Greg Guillen dated 12/4/06. Work shall.al <br />conform to the Nelson Geote»:-hnical report and structural calculations by Greg Guillan. <br />5. City stt�Its aLe to he kept. ole•an at all times. 'd <br />_. �. <br />Yi1l1F: ?' SF CTi R IS FANDY ALL -Ell. Contact him at 425-334-740: for inrpectionsCDJO <br />questions. <br />Co/o/ a/YQ'•/rad <br />Tr <br />I_ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant 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 rir t-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />proptny damaged <br />thereby. <br />Signature of Appli ;nl Date <br />Z <br />0 <br />O <br />a <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO EE 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 />AR, INC <br />EPWP (7MG) DATAB <br />