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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />4:7r 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />TO POSTING DEC 1 2 2002 <br />Date 10/19/2001 <br />Public Works Permit A 13WO110-019 <br />Building Permit A <br />Planning Reference A <br />Public Works Fee $ <br />Guarantee $ <br />Iffijis[aIIrZto] <br />$2,121.35 <br />OWNERNAME PAC; FIC CENTERS INC <br />APPLICANT NAME <br />AND ADDRESS. <br />AND ADDRESS: <br />6533 ,EAVEIW NW FH2A <br />SEATTLE WA 98117 <br />PHONE: (206) 783-1499 <br />PHONE: <br />TAX PARCEL I.D.4 28051900300700 <br />PROJECT ADDRESS'. 711 112TH ST SE <br />DESCRIPTIONOF NEW CONVENIENCE STORE/GAS STATION <br />PROPOSED WORK, <br />7 ELEVEN <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 hire. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. As per approved plan dated 2-20-02. <br />I /%% <br />mrveo for Comt ly&wr.:, <br />Date <br />�� <br />FINAL INSPECTION <br />Approval as ConslnxIed Dale <br />02-21-02 1:46PN <br />N U0040 <br />m <br />BUILD 1S93.54 <br />SRCHG 4.50 <br />O <br />N 110019 <br />OTHER 50.00 <br />OTHER 112.50 <br />Z <br />PW/RW 652.95 <br />O <br />PW/INSF' 1305.90 <br />N 202027 <br />laaaa <br />SEWER 70.00 <br />UTILITY 2094.00 <br />WATER 800.00 <br />O <br />N 202028 <br />a <br />WATER 000.00 <br />N 202029 <br />WATER 800.00 <br />N 202030 <br />ACKNOVu(IA MEMEWQO WCONDITIONS <br />TOTAL 9083.39 <br />The undersigned owner/applicant hereby ag(CT44"ar0� 39 <br />harmless me City EvgrgyJ)py� and all claims for <br />save at . <br />damages, costs, expenses, 61 c�J3th�dl action that may arise <br />because of installati m1 maintenance of the improvement or <br />other right-obway qa hereto applied for and further agrees to <br />o re ce blic <br />remove same upod notice from2;Dal <br />thereby./ <br />grope <br />�V C�— <br />e <br />L i u I nd <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN too DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY aJRSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER SO DAYS DURATION. <br />