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PUBLIC WORKS Date 11d2102005 <br /> PW0511-034 <br /> Public Works Permit# B0511-009 <br /> PERMITBuilding Permit# <br /> 4-17- PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ S25.00 <br /> (425)257-8810 <br /> Guarantee$ <br /> OWNER NAMEA AM OHN A `F MIRAN 1.11 ERL APPLICANT NAME <br /> AND ADDRESS,e 607 VIRGINIA AVEAND ADDRESS: <br /> EVERETT WA 9 201 <br /> PHONE: .4252522210 PHONE: <br /> TAX PARCEL I.D.# UU4a f bbUU4UU4€iU PROJECT ADDRESS:2bU l VIRGINIA AVE <br /> GARACF Ar1T1TTTt'�A2 <br /> DESCRIPTION OF <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <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 permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4. Splash blocks permitted. Call Public Works inspector (Rick 425-3399-7403) if you W <br /> have questions regarding drainage and the dreveway oft the alley. <br /> CO <br /> 0 <br /> O <br /> CIE <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned arml yr/applicant hoby agrees t holdm and <br /> save harmless the City of Everett from any and all claims for <br /> ��`/// Approved for Construction ate 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 /> FINAL INSPECTION p perty raged reby. <br /> Approved as Constructed Date 1/ 0 <br /> dc�— <br /> Sig ature of Applic nt ate <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 />