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PUBLIC WORKS Date 1/27/2004 <br /> Public Works Permit# PW0401-018 <br /> PERMITB0401-028 <br /> Building Permit# <br /> OLT PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ $267.66 <br /> (425)257180— pornive <br /> 1 4 i Guarantee$ <br /> PAunRER SA'rwANT B t d tf1 r <br /> ANDOWER ADDRESS: APPLICANT NAME 4c_ .3fo�NAME 3114 LO MBARD AVE AND ADDRESS: <br /> AND AD <br /> EVE.RETT WA 98201 <br /> 4252595038 4252593136 <br /> PHONE: PHONE: <br /> 00439070300700 3..10 ttt„>CtEt�l'ELLEK AVE <br /> TAX PARCEL I.D.# PROJECT ADDRESS: <br /> NSW 6 UNIT <br /> DESCRIPTION OF <br /> PROPOSED WORK: <br /> LOTS 7 TEM/ 9 BLOL..A. 793 Et .tse;TT 1ST <br /> PERMIT CONDITIONS ADDN <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 Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1 800-424 555S' ,.- <br /> 4. As per approved plan dated 5/5/04. 1111 <br /> 5. Replace broken and/or damaged sidewalk at the direction of-the Public Works <br /> Inspector. <br /> 6. Keep city streets clean at all times during construction <br /> _. 3:31: „00 0 <br /> ATE.. 200i)i) . <br /> LATH_R 5 0- 133- Z <br /> :;�f O <br /> I' <br /> Cn <br /> Om <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> 6)'t/`'�11 l) The undersigned owner/applicant hereby agrees to hold and <br /> J V save harmless the City of Everett from any and all claims for <br /> Appro for Construc ion Date damages,costs,expenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement or <br /> 1 / other right-of-way use hereto applied for and further agrees to <br /> /0//4.3/0,6 remove same upon notice from the City and to replace public <br /> ANAL I ECTIOprope edf thereby. <br /> Appro as Constructed Date <br /> ,l/A— '41 L—C----y .„ <br /> Signature of Applicant Date <br /> 1,A <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />