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PUBLIC WORKS;7iT40 15:40 <br />PERMIToi4 <br />rr <br />PUBLIC WO <br />3200 Cee al F�fMPTME <br />trI <br />reat <br />Everett,425) 25WA (92 '- $ IDA <br />425) <br />1 X DEV $11Q0A <br />Date 8/20/2007 / <br />Pudic Works Permit# PW0708-023 <br />Building Per rill N <br />Planning Reference N <br />Public Works Fee$ S25.00 <br />Guarantee E <br />OWNERNAME 1 D[1IJI APPLICANT Sq1 R71TIiLEEN CHURCH AND ADDRESS: REYRDAL CONSTRUCTION TE SND�17E-00 <br />8908 EASTVIEW AVE CMryoB sllrfli`'A <br />EVERETT CIA <br />PHONE: 4253375404 PHONE: <br />TAX PARCEL I.D.I I PROJECTADDRESS: 3230 91ST ST SE <br />RIPTION OF <br />PROPOSED WORK: NEW SEWER EXTENSION -OUTSIDE CITY LIMITS <br />PERMIT CONDITIONS <br />1. All cells for Inspection shall be made 24 hours in advance. <br />2. All work shall be performed in aocordam a with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424.5555 <br />4, work to he done pec plan dated 8-20-2007 (Copy Attached) <br />2 <br />for <br />for Canetrudktn Dele <br />as <br />Date <br />25F- j1_6, <br />rn POSTING ....SE ..3 0 t. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerrapplicant 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 apse <br />because of Installation and maintenance of the Improvement or <br />other right-of-way use hereto applied for and further agrees to <br />(M/ <br />W <br />O <br />z <br />O <br />H <br />Cn <br />O <br />a <br />rem ve s to upon notice in t ity and to replace public <br />profa dame tl tare 4 _ /� 4 <br />/6-7— <br />Sgnatul) of Applicant Dale <br />AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />PHIS PROJECT OVER W DAYS DURATION. <br />EPWP UMS) aTAOrt W- <br />