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PUBLI� WORKS PERI�IIT Date: 12/1/2008 <br /> _ Fublir,Works Permil #. PW0812-003 <br /> City of C-verett Public Works Departmenl <br /> 3200 Cedar Street Building Permit#; B081 i-021 <br /> Evereri, WA 98201 Planning Reference#: <br /> (425) 257-8810 <br /> Public Works Fee$: S 4,599.86 <br /> �� �������7 GE�_ 2�12 Other g: <br /> OWNER NAME AND ADDRESS: APPLICANT NAME AND ADDRESS: <br /> PEMC <br /> 1321 COLBY AVE <br /> EVERETT �n/q 98206 <br /> PHONE: 4252614556 PHONE: <br /> TAX PARCEL ID# 00438524701100 SITE ADDRESS: 1700 13TH ST <br /> DESCRIPTION OF PROPOSED WORK: <br /> ACUTE CARE TOWER PEMC <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 Construchon Standards <br /> and Specifications. <br /> 3 Call Location Underground �ervice 48 hrs before you dig TOLL FREE NUMBER 811 <br /> E"' <br /> � <br /> � <br /> O <br /> � <br /> z <br /> 0 <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownerlapphcanl hereby agrees to hold and <br /> save harmless Ihe City of Everel� (rom any and all claims(or <br /> damages, cos�s, expenses, or causes of action Ihat may arise <br /> because of installation and maintenance of the improvement <br /> or othcr right-of-way use hereto applied for and further agrees <br /> lo remove same upon notice from the City and to replace <br /> App ved f C nstr ction Dale public property damaged thereby. <br /> /2�//-12 <br /> INAL INSP TION Dale <br /> Approved as Constructed Signalure of Applicant Dale <br /> WORK AUiF10RIZED BY THIS PERMR h1U5i BE S7ARTED WI'f}i1N IBO DAYS OF DAT[PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br /> PURSUED TO COMPLEl10N. THIS PERPIR h7AY BE U�NCELLED 6Y THE CfTY I�pON ANY STOPP�GE OF 540RK ON THIS PRO)ECT OVER 90 DAYS DURATION. <br />