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"APPUBLIC WORKS PERMIT Date: 7/17/2012 <br /> Public Works Permit#: PW1207-016 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; <br /> . Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> (\ �ublic Works Fee $: $ 0.00 <br /> -t r (,14/t- Cd-- 2_700 c _ -c,/,,,,,A� 141,'-Q- Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> EMA INVESTMENT LLC RANDY COOPER <br /> PO BOX 13261 2804 GRAND AVE STE 308 <br /> EVERETT WA 98206 EVERETT WA 98201 <br /> PHONE: PHONE: 4253041000 <br /> TAX PARCEL ID# 00439167102200 SITE ADDRESS: 2804 GRAND AVE <br /> DESCRIPTION OF PROPOSED WORK: <br /> STREET CLOSURE/TRAFFIC CONTROL <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 the permit and current City of Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Call Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4. Per approved plan. <br /> W <br /> CA <br /> PelC <br /> 4 <br /> 0 <br /> ci) <br /> 0 <br /> P* <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 <br /> 7 �a or other ' -of-way use hereto applied for and further agrees <br /> A - <br /> f•r Con ru •n Date to remove ame upon notice from the City and to replace <br /> P' � public pro erty damaged thereby. <br /> INAL IN :ECTION Date / U" 7j // <br /> Approve' as Constructed Si ' ature of App icant D <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />