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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 <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # . <br />Public Works Fee $ <br />Guarantee $ <br />OWNER NAME APPLICANT NAME <br />AND ADDRESS: Kenneth Heitman AND ADDRESS: <br />Kenneth Heitman <br />4724 Glenwood Ave. Kenneth <br />Glenwood Ave. <br />Everett 8203 Everett <br />tea <br />PHONE: 4252521884 PHONE: <br />4252 21884 <br />TAX PARCEL I.D.# PROJECTADDRESS: <br />4224 <br />DESCRIPTION OF j7 r PROPOSED WORK: Short plat #1202-:34-07 <br />3/4" water meter for lot 2 (4726 Glenwood Ave.) <br />PERMIT CONDITIONS <br />2/27/2.008 <br />PE0802-025 <br />9s� <br />$50.00 <br />98203 <br />1. All calls for inspection shall be. made 24 hours in advance. <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. Construct, per plan. <br />©�� , 0 F57 <br />for <br />FINAL INSPECTION <br />Approved as Constructed Date <br />l- <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 />Signature of Applicant <br />Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY RSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />EPWP (7/06) <br />