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PUBLIC WORKS <br />PERMIT <br />0!$:7T <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425)257-8810 <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: BPJAN FPAUFTIEOLTZ AND ADDRESS: <br />607 VIEWRIDGE DR, <br />EVERETT E3A, 98203 <br />PHONE: 4252581646 PHONE: <br />TAX PARCEL I.D. # PROJECT ADDRESS: <br />DESCRIPTION OF SHORT PLAT is PR.x.) EMETI S 1202-5=-6 PROPOSED WORK: t �' �` <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit # PU0605-037 <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <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 A.PPR( VED PLAN <br />Approv d for Constructi Date <br />,9°7 <br />FINAL INSFa8CTION <br />Approved as Constructed Date <br />$50.00 - <br />W <br />OUri <br />Lr4 <br />L j <br />—••.7 <br />f'�' --,73 <br />�7 <br />1 <br />r•..:a <br />r � <br />> <br />O <br />—1—s <br />C-1 <br />CA <br />a-.. <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. <br />U Mq V� I I n � as <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 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 />