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PUBLIC WORKS <br />PERMIT <br />00 T <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date 7/7/2005 <br />Public Works Permit # PPI0507-009 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $2, 492.49 <br />Guarantee $ <br />OWNER NAME APPLICANTNAME -RQ1jb K t!'ff;'rTLL AND ADDRESS: AND ADDRESS: 2131 1ti► TEd PL SE <br />EVEREW M 98208 <br />PHONE: PHONE: <br />TAX PARCEL I.D. # PROJECTADDRESS: 70. i,sYf;sCIA sd pjJ <br />DESCRIPTION OF <br />PROPOSED WORK: <br />1. <br />All calls for inspection shall be made 24 hours in advance -phone (425) 257-8810 <br />2. <br />All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. <br />Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. <br />PER APPROVED PL AIfS . DATED 7-1- i t 5 <br />Uj <br />Im <br />m r�l r^ -fR ^ ca <br />—^'c , �, —'j� <br />I� '"- <br />i <br />O <br />Lr�1 <br />aro- � '' •r�r �a�s <br />art <br />r3;r <br />J.�• Y_?7 q_77 X- !r-' 1—C3 •Fk CJ7 <br />On <br />•,ii '� { Cr �,C �-1 C-'•.t !—• .-JJ 4=.' Ca <br />:J L`c.' !--'• <br />=ar•�{_ <br />Xppro��for Construction) Date <br />FINAL INSP TION <br />Approved as Constructed Date <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 or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from t e City and to replace public <br />property damaged thereb <br />Signature of Applicant V 6ate <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 />