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PUBLIC WORKS PERMIT Date: 06124/2009 <br />Public Works Permit #: PW0906-033 <br />City of Everelt Public Works Department <br />-+ ,�,r�„_��;_ 3200 Cedar Street Buildinq Permit #; <br />`��``"'`'"`' Everelt,WA 98201 <br />(425) 257-8810 Planninp Reference #: <br />SEP 01 2010 Public Works Fee $: 5 538.25 <br />TO POSTING ocne� �: <br />OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br />Smoots Developmenl inc. Mike Roy <br />1305 Bonneville #d same <br />Snohomish Wa 98290 <br />PHONE: 4253276936 PHONE: 4253276938 <br />TAX PARCEL ID # SITE ADDRESS: -499&-S4tl�-FWe� �{4 S, y M <br />DESCRIPTION OF PROPOSED WORK: <br />SEWER MAIN EXTENSION FOR FUTURE CONSTRUCTION <br />P[RMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2 All work shall be periormed in accordance wilh the permit and current City of Everefl Design and Construction Slandards <br />and Speci(icalions. <br />3 Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 � <br />4 Conslruct per plan. <br />5 Sewer and waler connections addressed on permits to be issued tor new dupler (C0904-004)I <br />�; <br />�. � 1_` �_ ._3� <br />pq �J �j <br />1:11Jr��{ � <br />D :' <br />� m,� _ <br />;���—�� <br />z <br />� <br />L� <br />C•i <br />.� 40 .s. w <br />�r• �F�� � �i + i� <br />- _ p.� 5� a-. : , <br />� ;i ;_; Ul a, r� ;_; <br />�� <br />ACKNOWLEDGEA1ENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby agrees to hold and <br />save hannless lhe Ciry of Everett trom any and all Gaims for <br />damages, cosls, expenses, or causes of action that may arise <br />because ol installation and maiMenance of Ihe improvement <br />or other righl-of-way use herc�o applied for and fuAher agrces <br />to remove same upon notice from lhe City and to replace <br />public property damaged ihereby. <br />� <br />i� 1 1 Z,�� �'i3-O� <br />SignaWre of Applic nl Date <br />\';ORK AUTHORIZ[D 6Y TIIIS P[Rh11T �4USi �[ STAR�fED \'JITHIN 180 DAYS OF DAT[ PERNIT IS ISSUED AND THEREAf-TER 15 TO BE DILIGENTLY <br />PURSUED 10 COi•1?LEIIOfJ. THIS VEIiI4IT �dAY 6E C! NCELLED UY THE CITY UPON ANY STOPPAGE OF N�OIiK ON TNIS PROJECT OVER 90 D�YS DURATION. <br />