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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />x 3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNER NAME AND ADDRESS: <br />KIRSHNERHOLDINGS LLC <br />4113 127TH ST SE <br />EVERETT WA 98208 <br />Date: 3/24/2015 <br />Public Works Permit #: PW1503-030 <br />Building Permit #; <br />Planning Reference #: SUB08-001 <br />Public Works Fee $: $ 2,400.00 <br />Other $: <br />APPLICANT NAME AND ADDRESS: <br />PHONE: I PHONE: <br />TAX PARCEL ID # 00791400000200 SITE ADDRESS: 9807 24TH DR SE <br />DESCRIPTION OF PROPOSED WORK: <br />TRAFFIC MITIGATION FOR 2-LOT SUBDIVISION <br />PERMIT CONDITIONS <br />1. All calls for inspection shall 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 r— <br />Approved for Construction Date <br />FINAL INSPECTION Date <br />Approved as Constructed <br />rri <br />' <br />; <br />n" z,• <br />n <br />�I <br />7i <br />c <br />LTy <br />�a <br />C> <br />o <br />mc•i <br />O <br />t 4d <br />M t -1 <br />a <br />I- <br />LTI <br />+ <br />C> Cr X-' C> <br />�•^ <br />�c3 C> <br />C> o <br />C—) LTi <br />1 O <br />r~�i <br />A <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 <br />or other right-of-way use hereto applied for and further agrees <br />to remove same upon notice from the City and to replace <br />public property damaged thereby. <br />Signature of Applicant Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY <br />PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />