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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street - <br />Everett, WA 98201 <br />(425)257-8810 <br />Date 5/30/2006 <br />Public Works Permit # PT40605-055 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS & G STERLING ITA1. AND ADDRESS: <br />2131 106TH PL SE <br />EVERETT VA 98208 <br />PHONE: 4253879071) PHONE: <br />TAX PARCEL I.D. # PROJECT ADDRESS: <br />7f'130 %uARSON Ri7 <br />DESCRIPTION OF <br />PROPOSED WORK: SHORT PLAT INPROVEMENTS 1202-3-06 <br />PERMIT CONDITIONS <br />$50.00 � 5 <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 APPR01ED PLAN <br />ZApprfor Construction Date <br />FINAL IN60ECTION <br />Approved as Constructed Date <br />r-• <br />CR �m <br />C� ,r� <br />C}GCOG <br />W <br />mi� <br />m <br />Cn <br />c- <br />O <br />tt�y�9, <br />01 <br />z <br />ra <br />c� <br />r' <br />O <br />F- <br />�J <br />r.� c::� r••a <br />W <br />O <br />F— LTI�1 <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 or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged thereby. o <br />Signature of Applicant Dat <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 />