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pue�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cehr Sueet <br />Evcretl, WA 98201 <br />(425) 257-P810 <br />OWNERNFME ����91i �4�¢fHla6 <br />ANDADDHESS�. PO $OX �194i <br />fiVERfiTT iiA 98206 <br />�263593349 <br />PHONE: <br />TAX PARCEL I.D. M <br />�ESCRIPTION OF <br />PROPOSED WORN: <br />PERMIT CONDITIONS <br />PMONE: <br />NRME <br />ADORESS: <br />Date <br />Pudic Works Permit • <br />BuilAing Permit � <br />Planning Relerence � <br />Public Works Fee S <br />GuaraNeo S <br />4262392668 <br />7/�3/7009 <br />PN0207-016 <br />Bo�o�-o,�� <br />Y � .�p-� <br />$�0.00 �°/7z <br />1. All calls lor inspeclion shall be made 24 hours in advance - phone (425) 257•BB10 <br />2. All work shall be perlormed in accordance wilh this pertnit and current City of Everett Design and Construction <br />Standards and Specifications. • <br />3. Call ocation Under r u d Servic 48 hrs. before you dig. TOLL FREE NUMBER 1-800-124•5555 <br />a. ks per pu�q�� wori�s approvad plan aatea a-zg-oa. <br />o��-os-�_ <br />t� <br />FUi L: <br />SRCNu <br />N <br />FW/h1'W <br />FW/INSF' <br />TOIAL <br />v:����� <br />�o�o�: <br />644.�5 <br />4.�G <br />�070,6 <br />20.00 <br />zo. co <br />'.,BB. 75 <br />A 0'!9`^` <br />W <br />F- <br />- <br />� <br />m <br />0 <br />� <br />Z <br />� <br />i'I� E K '8� <br />VJ <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tho undersigned ownor/applicanl �ure0y agrees ro hold erW <br />savc harmless tho Ciry ol Everetl from any and all daims lor <br />tlamages, costs, expensos, a causes ol action Mat may arise <br />becauso oi instailation and maintenance ol ttre improvement a <br />othor ri9ht�ol-way uso horelo applied 1« eM lurther agrees to <br />remme ;ame upon no � hom �he Ciry and to replace public <br />properry damaged ihor y. <br />�u�/ 9 5=02 <br />$ lu ol ApplKan( D2te <br />WORK AUTMORIZED BY THIS PERMIT MUST BE STAP7ED WITMIN IBO D�YS OF �ATF. PERMIT IS ISSUED AND THEREAF7ER IS TO BE DILIGENTIY PURSUED <br />TO COMPLETION. 7MIS PERMIT N.RV BE CANCELLED BY TME CITY UPON ANV STOPPAGE OF WORK ON 7HI5 PRQIECT OVER 90 DAVS WRAiION. <br />