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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />4:7T Everett, WA 98201 <br />(425) 257-8810 <br />Date 10/13/2005 <br />Public Works Permiti"T0510-018 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ $2, 157 .66 <br />Guarantee $ <br />OWNER NAMvA L� APPLICANT NA y—�sR���a Gt <br />AND ADAPPLICANT I1gC <br />DR AND ADDRESS`: <br />1207 E CASITIO 3922 87TH,.AVE ICE <br />EVERETT 101A E Isis REITT WA 98205 <br />PHONE: I PHONE: 4-2533,42790 <br />TAX PARCEL I.D. # PROJECT ADDR6iSS7 E CASINO RD <br />DESCRIPTION SHORT PLAT IMPRC5,M4ENTS 1202-11-05 <br />PROPOSED WORK: <br />PERMIT CONDITIONS <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 1-800-424-5555 <br />4. PER APPRWEU PLANS <br />t <br />v� <br />Ap "roved for Qoas�irtian Date <br />INAL INSPECTIO �> g ^d-- G- <br />Approved as Constructed Date <br />$2C116 C% <br />lyuh�° <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Cn <br />Im <br />O <br />�D <br />O <br />Cl) <br />a <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-o ay u e hereto applied for and further agrees to <br />re ove sam pc n tice fro the City an to repla public <br />pr a h <br />SiMature 4-AppiicaM V IDate <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSXEDJAND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ft tHIS PROJECT OVER 90 DAYS DURATION. <br />