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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />OL 3200 Cedar Street <br />Evored. WA 88201 <br />(425) 257.8810 rn trrlr nlnrlmrc TO Pp�l, <br />NDADDRESESS. <br />A320 106TE AVE WE <br />nrPL <br />AND ADDAND. <br />BELLF`/UE NA 08004 <br />Date <br />Public Works Permit N <br />Building Permit 0 <br />Planning Reference a <br />Public Works Fee $ <br />Guarantee E <br />6/3/2004 11� <br />PR0406-006 <br />B0401-032 <br />$18,612.75 <br />2062239500 a 9 <br />PHONE: PHONES y�4 �',3 <br />r4 <br />TAX PARCEL 1.0.1 PROJECT ADDRESS <br />11i�i1RTFi0LLar - Fi11T t nT , . <br />DESCRI OF <br />PROPOSEDED W WORK: <br />PERPI T 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 Dipn q�Rf1d Cppngt Vc'ion <br />Standards and Specifications. 1 -i4-U9 1: EOM <br />3. Call Location Underground Service 48 hrs. before you dig TOLL FREE NUMBER 1-AD-424-5559406006 <br />4. PER APPROVED PLANS DATED 6-3-04 OTHER 862.30 ' g3 <br />PN/" 5916.75 <br />PY/INSP 11833.50 <br />TOTAL 18612.75 <br />CHE= <br />A ON 881 <br />Z <br />0 <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, 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 me upon notice from the City and to replace public <br />Pr <br />damag d lareby. <br />Sg ra Iplx:a Dan v <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PER I S11E0 AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORT( ON THIS PROJECT OVER 90 DAYS DURATION. <br />