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�/��/ Pl�BLIC VII�RKS PERMIT Date: 6/10/2009 <br /> ������ City cf Everett Public Works Department Public Works Permit #: PW0906-009 <br /> ��,,,ti�;;;L,-,�..��r 3200,GedarStreeVj;-�f-'�;�;��ii��li i?:;; E3uildinpPermit#; <br /> - Evete`tt�yvA 982o�,Ei,1 �'�'S��lanri`n�a Reference #: <br /> �aZ5) �57-8810 r,T 1 <br /> I'ER'tili 'r;a,G'�C,y,;jq Pu:��lic Works Fee $: $ 295.00 <br /> Other $: <br /> tF''uoUJ�. Ap . �T NAiNE AND ADDRESS: <br /> OWNER NAME AND ADDRESS: � [:'ij)ItiG ���•��� <br /> CITY OF MUKILTEO ;� `�IAIT�NIGGEMYER <br /> 11930 CYRUS WAY CHeG!, '' ' '•''� <br /> MUKILTEO WA 98275 <br /> PHONE: 425263808' PHONE: 4252638081 <br /> TAX PARCEL ID# SITE ADDRESS: 44TH AVE W <br /> DESCRIPTION OF PF20POSED WORK: <br /> FILL FOR �ARDEN BEDS 8 BALL FIELDS-HIGHLA�D MEMORAL PARK <br /> PERMI i 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 Everett Design and Construction Standards <br /> and Specifications. <br /> 3. Ca!I Location Underground Service 48 hrs before you dig. TOLL FREE NUMBER 811 <br /> H <br /> � <br /> � <br /> � <br /> � <br /> �"J <br /> -�–� <br /> 0 <br /> C!J <br /> 0 <br /> a <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, expenres, or causes o`action ihat may arise <br /> because of install3tion and maintenance of the improvement <br /> G� � ,'� '_ ��=J. or other right-o6way use herelo applied for and further agrees <br /> to remove same upon notice from lhe City and to replace <br /> Appro d o �tructi i Date p�,blic prqperty damaged thereby. <br /> l-�(a -� <br /> FI AL INSPEC N Date �=�/ /�� ��-�' ���v�� <br /> Approved as Constructed �S�awre o�pplicant Date �— <br /> G� <br /> WORK AUTHORIZED BY TI115 PERMif MUST BE STARTED WITHIN 180 D/�YS OF DATE PERMIT IS ISSUEG AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COPiPLETION. TH[S PERMCf MAY BE G:NCELLED 6Y T�1E CIfY UPON ANY STOPPAGE OF WORK ON THIS PRO]ECT OVER 90 DAVS DURATION. <br />