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PUBLIC WORKS <br />PERMIT <br />4W7T <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257.8810 <br />IWNER NAME t1Uj1 <br />NO ADDRESS: 3315 15th Street <br />EVERETT WA 98: <br />Date <br />Public Works Permit a <br />Building Permit a <br />Planning Reference a <br />Public Works Fee $ <br />Guarantee S <br />PHONE: PHONE: <br />TAX PARCEL I.D.a PROJEC r ADDRESS'. 2111 Ross Avenue <br />DESCRIPTION OF WildeE ASPIldIC batcn Plant Fill <br />PROPOSED WORK: <br />910* A,I11191611011 ti ML 0 <br />10/1/2002 ' <br />PWO210-001 <br />$560.00 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257.8810 <br />2. All work shall be performed in accordance with this peril and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. O L FREE NUMBER 1-800-424-5555 <br />4. As per approved plan dated JD�zr4 . Uj <br />5. Keep city streets clean at all times during construction. <br />6. Additional erosion control measures shall be installed/maintained a <br />the direction of the city public Works inspector. <br />m <br />0 <br />z <br />0 <br />10-03-02 5;40) <br />It 020100i <br />m <br />OTHER 560.00 <br />TOTAL 560.00 <br />0 <br />o. <br />A OMS924 <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 right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />oda heroby <br />ignalute off ant . <br />D, <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 />