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PUBLIC �iIVORKS PERMIT Date: 4/9/2010 <br /> �. � Public Works Permit #: PW1004-01� <br /> City of Everelt Pubhc Works Department <br /> ;/� J 3200 Cedar Street Building Permit#; <br /> .. ��'`�'`�� Everett, WA 98201 <br /> Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee 5: $ 0.00 <br /> Other 5: <br /> OWNER NAME AND AD�RESS: APPLICANT NAME AND ADDRESS: <br /> GTS DRYWALL SUPPLY INC CITY OF EVERETT <br /> 10819 120TH AVE NE Grant Moen <br /> KIRKLAND Wq 98033 <br /> PHONE: PNONE: 4252578947 <br /> TAX PARCEL ID# 29052900400600 SITE ADDRESS: 2731 36TH ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> GRADNG PERMIT FOR GTS DRYWAL� SITE <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 Everelt Design and ConstrucUon Standards <br /> and SpecificaUons <br /> 3. Call Localion Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> 4 Work to be done per appproved plans dated 6-18-10 (copy attached) <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � N) U �� � <br /> JUN 2 1 2010 D z <br /> O <br /> CITY OF EVERLTT � <br /> Permit Services Q <br /> � <br /> ACKNOWL[DGFidENT C� CONDITIONS <br /> The undersigned ownedappGcant hereby agrees to hold and <br /> save harmless the City of Everett(rom any and all claims for <br /> damages, costs,expenses, or causes of action Ihat may arise <br /> // ,Q because of installation and maintenance of Ihe improvement <br /> C� • /) _� O / /S _/D or olher riyhl-o(-way use hereto applied for and furiher agrces <br /> � Z�2�r ��'���� `� to remove same upon notice from ihe City and lo replace <br /> Appro�ed for ConstruCtion Date public propert damaged thereby. <br /> FWAL INSPECTION Date '�� `� ���)` / v <br /> Approved as Constructed Signature o(Applicant Date <br /> WORK AUTHORIZED BY THIS PERt-0R MU5T BE STARTED 4JITHIN 1d0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO 8[DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERhIIT h1AY BE CANCELLED BY TNE CI7Y UPON ANY STOPPAGE OF WORK ON TNIS PROJ[Ci OVER 90 DAYS DURATION. <br />