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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />417r 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date 4/28/2006 <br />Public Works Permit # PPJ0604-026 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />$50.00 <br />Guarantee $ <br />OWNER NAME <br />T*TT�� <br />APPLICANT NAME <br />AND ADDRESS: <br />AND ADDRESS: SAME <br />6305 WE TT-1()}E <br />EIVT ETT WA <br />98203 <br />PHONE: <br />4254239115 <br />PHONE: <br />TAX PARCEL I.D. # <br />00495000600 00 <br />PROJECT ADDRESS: <br />DESCRIPTION OF <br />RETAINING, AT:L& UP <br />TO " BAC`F-FILL 0/ Aw cez a <br />PROPOSED WORK: <br />- oX/— }/ <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. Deep streets clean at. all t.i.Yn:-es <br />5. Grading shall be done so as not to impact the <br />6. Install any erosion control as directed by the <br />(425-339-74{ 3) <br />0 <br />for Construction <br />FINAL INSPECTION <br />Approved as Constructed Date <br />adjoining prc.pertvjes <br />M <br />7KZ <br />U11 F <br />'m5n' <br />FR �11 <br />r-1 �i <br />t- c.•G-1 <br />ra <br />a <br />r� <br />G�-• <br />ca r••.•r <br />.-.-4 .& .s.- <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tr <br />M <br />z <br />O <br />F— <br />O <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 />property damaged th eby. <br />Signature of Applicant Date <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 />