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t , <br />PUBLIC WORKS.- Date 6/12/2006 <br />Public Works Permit# �,� �.�. ©�06_� <br />PERMIT <br />OLT <br />Building Permit #PUBLIC WORKS DEPARTMENT Planning Reference # <br />3200 Cedar Street <br />Everett, WA 98201 Public Works Fee $ $50 ®00 <br />(425) 257-8810li 4 <br />Guarantee $ � � <br />WNEINAMAOND AD SSGARy M S ANDLADDRESSME <br />14607 s6m AVE Null <br />STAVV0 D 98292 <br />PHONE: 4252389376 PHONE: <br />TAX PARCEL I.D. # PROJECT ADDRESS: <br />124 112TIR S ,-qr <br />DESCRIPTION OF PROPOSED WORK: S110RT PLAT ; a iIUS 120 <br />2_21—OS <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance - <br />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 />W <br />PER SITE PLAN <br />aim <br />Cn <br />-� <br />O <br />rev. <br />Y6 <br />r <br />O <br />,s <br />ACKNOWLEDGEMENT OF CONDITIONS <br />y� <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />Approved for Construction Date <br />damages, costs, expenses, or causes of action that may arise <br />t <br />because of installation and maintenance of the improvement or <br />to <br />other right-of-way use hereto applied for and furthbr agrees to <br />t: <br />remove same upon notice from the City and to replace public <br />T�INAL INSPECTION <br />prope(ty damaged t er 6y. <br />Approved as Constructed Date <br />;`l <br />/ <br />Signa ure of App icant Liate <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 COMP4 TION. THIS PERMIT MAYBE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />