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PUBLIC WORKS PERMIT <br />City of Everett Public Works Department <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />Date: 8/20/2008 <br />Public Works Permit #: PWO808-020 <br />Buildinq Permit #; <br />Planninq Reference #: <br />Public Works Fee $: $ 378.89 <br />Other $: <br />OWNER NAME AND ADDRESS: <br />APPLICANT NAME AND ADDRESS: <br />BOJAN VRANJIN <br />SAME <br />4927- 211th STREET S.E. <br />BOTHELL WA 98021 <br />PHONE: 4254714523 <br />PHONE: <br />TAX PARCEL ID # <br />SITE ADDRESS: 2132 116th STREET S.E. <br />DESCRIPTION OF PROPOSED WORK: <br />SP-1202-39-07 <br />1" WATER FOR LOT 2 ADDRESS 2134 -116th ST. S.E. <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. CONSTRUCT PER PLAN. <br />w <br />E"I <br />H-I <br />0� <br />h <br />C) <br />C) <br />PO <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 <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 <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 />