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PUBLIC WORKS Date 10/1/2009 <br /> PERMIT PublicWorksPertnitp pppql0-002 <br /> Building Permit x <br /> PUBLIC WORKS DEPARTMENT Planning Reference k <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ $8,263.90 <br /> (4Z��'P�TING �AN 2 2 2006 Guarantee$ <br /> ON'NER NAME APPLICANT NAME <br /> ANDADDRE55: 3719 lOBTH SE ANDAD�RESS: <br /> ��'� WA 98208 <br /> PHONE: 4253370325 PHONE: <br /> �(�30 <br /> TA%PARCELI.D.k PROJECTADORESS: SOS7Q S}TH AVE SE <br /> oescaipTwNOF BANK BUILDING <br /> PROPOSED WOflK: <br /> PERMIT CONDITIONS <br /> 1. All cails for inspection shall be made 24 hours in advance-phone(425) 257•8810 �I <br /> 2. All work shall be performed in accordance with this permit and current Cily of Everett Design and Construction <br /> Standards and Speci(ications. <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> PER APPROVED PLANS DATED 10-1-04 W <br /> � <br /> '�A <br /> V/ <br /> 1�0-05-04 ��6048 m <br /> 6UILD 2420.63 � <br /> SRCHG 4..`A '7 <br /> N 041000.�i <br /> SEWEF 70.OD Z <br /> UTILITY 1101.00 O <br /> WATEft ic00.00 <br /> q 041000� � <br /> OTHEft 190.00 N <br /> FW/RVW 2691.30 O <br /> PW/INSF 5382.60 <br /> # 183056 a <br /> OTHER 60300.00 <br /> TOTAL 73360.03 <br /> CHE 73360.03 <br /> A O�i9907 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless the Ciry of Everett from any and all claims for <br /> nppro�e lor Conslmctio �� Date damages,costs,ezpenses,or causes of aclion that may anse <br /> because ol installation and maintenance ol the improvement or <br /> ���F� l/�U�i9�� other right•o4way use hereto applied lor and lurther agrees to <br /> �� � _ % / remove same upon notice from the Ciry and lo replace public <br /> FINAL INSPECTION property dartlaged thereby. <br /> Approved as Constmctetl Dale JI <br /> ��L� �y�+�� ������� <br /> Signature Applicam � r Date <br /> WOflK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF�ATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED � <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON 7HIS PROJECT OVER 90 OAYS OURATION. <br />