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PUBLIC WORKS PEfilVll'� <br />City of Everett Public N'orks Depariment <br />rn:.��� 3200 Cedar Slreet <br />Everett, WA 9t1201 <br />(425) 257-8A 10 <br />Date: <br />Public Works Permit #: <br />Buildinq Permit #; <br />Planning Reference #: <br />Public Works Fee $: <br />Other S: <br />7/8/2011 <br />PW1107-002 <br />$ 11,570.93 <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />PORT OF EVERETT CHRIS WEIST <br />PO BOX 538 <br />EVEREl"T WA 98206 <br />PHONE: 4252593164 PHONE: 2066241387 <br />TAX PARCEL ID # �� SITE ADDRESS: 1205 CRAFTSMAN WY <br />DESCRIPTION OF PROPOSED WORK: ( <br />BOATYARD EXPANSION & SOIL CLEANUP �� 1 �� a� � Z?—.� (�% NI�i-�!U ��� i� <br />PERMIT CONDITIONS <br />1. All calls for inspection shali be made 24 hours in advance. <br />2. All work shali be performed in accordance with ihe permit and current Cily of Everett Design and Construction Standards <br />and Specifications. <br />3. Call Location Uriderground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4. CONSTRUCT P�R APPROVED PLAN. <br />as <br />p C�CD�IC -� <br />j� U <br />I I NOV 2 8 2011 ,� <br />ci�Y �F �vE�� i T <br />P����i�i: �eivic�s <br />W <br />E"� <br />� <br />� <br />� <br />O <br />ti <br />z <br />0 <br />� <br />O <br />a <br />ACKtJOWLFDGEMENT �F CONDITIONS <br />The undersigned owner/appticant hereby a3rees to ho�d and <br />save harmless the City of Everell from any and ali claims for <br />damages, costs, expenses, or causes of ac!ion that may arise <br />because of inslallalion and me:�tenance of tha improvement <br />or other right-uf-way use herelo :.�plied for and further agrees <br />to remove same upon nolice from i`�e Ciry and to replace <br />public properly damaged thereby. <br />��:. '; �r , �,; it .. ,�� 2ti��, <br />� <br />SignaWre of Applicant Dale <br />