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Date 9!10/2007 <br />-I PUBLIC WORKS Public Works Permit# nVOT-006 <br />PERMIT Building Permit # <br />PUBLIC WOI+KS DEPARTMENT Planning Reference # <br />3200 Cedar Street <br />Everett, WA 98201 Public Works Fee $ 513 , 338.0 i <br />(425) 257.8810 t!J <br />OWNERNAME APPLICANT NAME <br />AND ADDRESS .iD t64S GROUP LLC ANDADDRESS: <br />410 140TH ST WE <br />ARLTNGTON <br />PHONE: 4251207348 PHONE: ll <br />TAX PARCEL IOA PROJECTADD13ESS: 'ND AVE A /OO `� W <br />DESCRIPTION OF <br />PROPOSED WORK: NEW RES.TDENTIAL CO14PLTX <br />PERMIT CONDITIOI: I®POSTINl7_ <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. I <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 r <br />4. PEp. APPROVED PLANS <br />T � <br />k"-s r G'n G�O .SQL %� �•�- "_�i" <br />� <br />/ <br />(S �P� �✓ �t iCv1n/1i� T�G�- �YlDtta� (qYr Z <br />5,{,a cvc-r L is L r I Iv(CE q ty O <br />( (l) �l� GI) r 1 <br />C O VtAt r3 LC bi CICOWS-4 4 JZ i c I& 1 m�' <br />Cpha)e rt) a <br />9 <br />Approved for Consbucaon Date <br />FINAL INSPECTION <br />Approved as Constructed Dale <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 />becauso of Installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />removes o.�po��n6lice Irom the City and to replace public <br />groped ' `a//g//@d•Utfiraby. �{[� / 2 _ /�`� <br />Signaturool Applicant Date <br />WORK D THEREAFTER IS TO BE <br />TO COMPLETION. EH SY PERMIT MTHIS PERMIT t UST BE STARTED WITHIN I80 DAYS OF DATE PERMIT IS ISSUED rDILIGENTLY PURSUED <br />MAY BECANCELLED BY HE CITYO UPON ANY STOPPAGE OF WORK ON THIS D IS PROJECT OVER 9 DAYS DURATION. DATAB <br />N. ATAOAa, INC. <br />EPwP (TNfi) <br />I= <br />