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PUBLIC K MH , Date: 9/30/2014 <br /> Public Works Permit#: PW1409-041 <br /> City of Everett Public Works Department <br /> 3200 Cedar Street Building Permit#; B1409-001 <br /> Everett, WA 98201 Planning Reference#: <br /> (425)257-8810 <br /> Public Works Fee $: $ 425.70 <br /> Other $: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> SNBL USA LTD <br /> 16203121 ST AVE NE <br /> BOTHELL WA 98011 <br /> PHONE: PHONE: <br /> TAX PARCEL ID# 28040200301000 SITE ADDRESS: 6605 MERRILL CREEK PKWY <br /> DESCRIPTION OF PROPOSED WORK: <br /> PUBLIC WORKS FOR ADDITION TO FACILITY-SNBL <br /> NORTH END OF MAIN BLDG-WEST SIDE <br /> PERMIT 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. Call Location Underground Service 48 hrs before you dig. TOLL_ FREE NUMBER 8,11 <br /> 4. Per approved plan. <br /> rp <br /> I <br /> 9 <br /> Description Comments ;- ,- <br /> P QTY Amount �-- <br /> P,,,.!PLAN REV]D11((EST) 60 , i`- - - <br /> Fv-i SITE INSPECTION (EST) 6C� 283.80 `=- r s -; r'°ti= --:.I.: <br /> . JZ <br /> -...�1= ...L <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 <br /> or other right-of-way use hereto applied for and further agrees <br /> to remove same upon notice from the City and to replace <br /> Approved for Cons ruction Date Pic; <br /> ublic propert da aged thereby. <br /> FINAL INSPECTION Date �!) G C <br /> Approved as Constructed Signature of App icant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �l L� <br />