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PUBLIC WORKS PERMIT Date: <br />2i6i2008 <br />" <br />Public Works Permit #: <br />City of Everett Public Works Depgtrgent <br />PWO802-006 <br />. _ <br />32061bedarStreet��'t�"fIt -t1ll= t5 t, Building Permit#; <br />ir. z <br />Ever tt;t*A 98201f�l-ir L 03'!ry'1;1 <br />257-8810 C Planning Reference #: <br />(425� T <br />�`` RK ' No.O+'02006 Public Works Fee $: <br />$ 612.45 <br />you nf; :r .Other $: <br />gt7 <br />OWNER NAME AND <br />ADDRESS: i- `i:l r 11 <br />APF?LIICAN AME AND ADDRESS: <br />Shaun Alger <br />= i `i? 12 <br />j ttt,;. <br />f41 <br />Ted �Ybo.anier <br />2645 Hi 9 hland Dr. <br />a.-f <br />166 <br />Carlsbad <br />,= <br />Ca 92008 L itAh( <br />Soadway <br />I._I. i•IJ2 , <br />E, e eg ,,^ Wa 98201 <br />d-.�. iJ <br />PHONE: 7604340447 <br />4252595556 <br />AX PARCEL ID # <br />"' <br />SITE ADDRESS: 8320 Rim Dr <br />DESCRIPTION OF PROPOSED WORK: <br />0 ho XPIRED <br />2" water meter service Lot 2 (8316 Rim Dr.) f <br />rz�z��oo7-0�� <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 <br />4-Gonstruct per plan a <br />W <br />E"I <br />h <br />0 <br />H <br />0 <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 />pprov tl for Construc o Date to remove same upo a from the City and to replace <br />public property'da'- a thereb <br />INSPECTIO Date <br />Approved as Constructed ��—�� / 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 />