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PUB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Strect <br />Everetl, WA 98201 <br />(425) 257•8810 <br />OWNERNAME n h J 2a (.'HERYL L <br />ANDADDRESS: r�Sb CORNELZA AVE <br />MUKILTEO WA 9'��75 <br />PHONE: 425339414:: <br />7AXPARCELI.D.� 0040 <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />1Q1 <br />Date <br />Public Works Peimit N <br />Building Pertnit M <br />Planning Relerence N <br />Public Works Fee S <br />Guaranlee S <br />7/17/2Nu.i <br />PW02�-u 1 i <br />�o�o�-�, :, <br />% <br />$'40. uU <br />APPLICANTNAME FANE MIKF. J t� CHr.HYL L <br />ANDADDRESS: r�lb CORNELIA AVE <br />MUKILiEO S9A 95375 <br />PMONE: 4253394142 <br />PR0.IECTADORESS: 433U RUCP:ER AVE <br />' c_'AP•I[4ET5 <br />1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be per(ormed in accordance with lhis permit and currenl City of Evarelt Design and Construction <br />Slandards and Specifications. <br />3. Call Location Underground Service 4B hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />4. As o��r publir .,sa� vic,_:= appiov„rd p:._uz dat._d 3/�/0�. <br />uv-os-uz <br />}� <br />FUILO <br />�� Cli�: <br />N <br />=w.��;v� <br />��wiinsF <br />1-UTA� <br />v:�za� <br />io�oa� <br />544.25 <br />4.50 <br />F0701I <br />�o.00 <br />^o.ao <br />688. i5 <br />A �1"�95�3 <br />� <br />W` <br />= <br />N <br />m <br />� <br />� <br />Z <br />� <br />i: F-IEi; a8�7 <br />vI <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the Ciry of Everett hom any aM all claims lor <br />dameges, costs, expenses, or causes ot ection that may adse <br />because of installaUon end maintenence ol the improvemenl or <br />other rlghFof-way use herelo applied for and IuMer agrees to <br />remove samo upon wtice irom tlie Ciry and to replace public <br />prope damaged ereby. <br />� <br />gn ture ol Appl Onla <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF OATE PERM ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAV BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON iHIS PR0.IECT OVER 90 DAYS DURAl10N. <br />