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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 />OWNER NAME APPLICANT NAME <br />AND ADDRESS: Steve Warbis AND ADDRESS: SaIIte <br />P.O.Box 848 y <br />Lake Stevens va 9825B <br />PHONE: 4253567767 PHONE: <br />TAX PARCEL I.D.# I PROJECTADDRESS: <br />DESCRIPTION OF <br />PROPOSED WORK: Short plat # 1202-21-Q7 <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit # <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. <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 />C� r_riCn Cn p <br />ti. <br />8/16/2007 <br />PN0708-011 <br />$5a . oo <br />141�s�� <br />W <br />(n <br />r <br />x, <br />f <br />G_ <br />M <br />W <br />0 <br />LCO <br />t <br />�7 <br />0 <br />�-i <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 />pr ed thgeeby. <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 />EPWP (7/06) DATABAR, INC. <br />