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�:�. <br />"�= =•.=�. <br />�, j'�. <br />..�' . <br />PUBLIC WORKS PERMIT Date: 9/23/2009 � <br />Public Works Permit #: PW0909-022 <br />City of Everett P lic Works D�a�_rt�1�� TiNJJ) 12:',4 <br />Ever�/'Ar 98201 �EG-1 � G24511 Buildinp Permit #; <br />�TPlgnninp Reference #: <br />�42��� �o b'��,���L Public Works Fee $: $ 5,seo.00 <br />T i1.��JV.� Vine�.�. <br />OWNER NAME AND ADDRESS: 1'�u «� A���� NAME AND ADDRESS: <br />PUGET SOUND KIDNEY CENTER �L �J � �0 <br />GHECK �. ��.� <br />1005 PACIFIC AVE <br />EVERETT WA 98201 <br />PHONE: PHONE: <br />TAX PARCEL ID 11 00437572301101 SITE ADDRESS: 3011 FEDERAL AVE <br />DESCRIPTION OF PROPOSED WORK: <br />PARKNGLOTIMPROVEMENTS <br />PERMIT CONDITIONS <br />1. All calls for inspection shail 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 811 � <br />4. PER APPROVED PLANS DATED 9-23-09 <br />W <br />E"� <br />� <br />� <br />� <br />O <br />ti <br />z <br />0 <br />H <br />� <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless lhe City of Everett from any and atl claims for <br />damages, costs, expenses, or causes of adion thal may arise <br />because of installation and maintenance of the improvement <br />or olher r4ght-of-way use hereto applied for and further agrees <br />to re v: same upon notice from the City and to replace <br />publ' perty damaged thereby. <br />� ' Gt��,,,,_ 'Z�F � al <br />of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN I80 DAYS OF D�ATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY <br />PURSUED TO COMPLE7ION. THIS PERMIT MAY BE CANCELLED BY THE CIfY UPON ANY STOFPAGE OF WORK ON THIS PROIECf OVER 90 DAYS DURATION. <br />