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+ ..--.. ':✓., ) , s�-' �, 4sZ ..;:- :,q .. - ... ... e-,Y ,..-.z,sirt .c c...:='f NT._ <br /> • <br /> ' PUBLIC WORKS Date 7/17/2002 <br /> PERMIT Building <br /> Works Permit# Pw0207_0�..� <br /> Building Permit# B0207-033 <br /> 04:77. PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street ,$4 00 <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 <br /> Guarantee$ <br /> OWNER NAME KANE MIKE .3 & CHERYL L APPLICANT NAME KANE MIKE 3 & CHERYL L <br /> AND ADDRESS: 51.6 CORNELIA AVE AND ADDRESS: 516 CORNELIA AVE <br /> MUKILTEO WA 98275 MUKILTEO WA 98275 <br /> PHONE: 4253394142 PHONE: 4253394142 <br /> TAX PARCEL I.D.# 00407800101 300 PROJECT ADDRESS: 4330 RUCKER AVE <br /> DESCRIPTION OF ANT^'NNASS. r NEW POLE, EQUIP CABINETS <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance - phone(425) 257-8810 <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 . As per public services approved plan dated 8/2/02. W <br /> I- <br /> CO <br /> 09-05- 2 9:12AM <br /> CO <br /> BUILD 644.25 <br /> 0 <br /> SEM 4.50 <br /> , # 207011 <br /> PW/RVW 20.00 Z <br /> Phi/INSP 20.00O <br /> TOTAL 688.75 <br /> CHEF( 68 i <br /> A 009523 <br /> Cn <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> (.01 ate tttV 2 The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> A proved for Construction 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, otice from the City and to replace public <br /> FINAL INSPECTION property damaged 'ereby. <br /> Approved as Constructed Date Agr <br /> . :ture of Applican i Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMI S 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 />