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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS UEPARTIdENT <br />3200 Cedar Sireet <br />Evemtl, WA 98201 <br />(42u) 257-8810 <br />OWNER NAME <br />ANDADDRESS�. P13RR0d Y3L'BI1tYl00�� <br />15U9 32nd 5t�eet <br />EVERETT WA 9B201 <br />Pr+or�E <br />TF%PAHCELi.D.n <br />DESCFiIPTION OF <br />PROPOSED WOFiN�. E:C(13I1d 0X13ting Paeking Lot <br />PERMIT CONDITICNS <br />Uate <br />9j 3(�/2009 <br />Public Works Permi� a PO(�404-031 <br />BuilC��g Permit q <br />Planning Relerence d <br />Public Works Fce S $ q5 .00 <br />Gun:antee 5 <br />APPLICAN�NAME GP�C e Aanna <br />ANDAD.RESS: 9 <br />220D2 64th Ave 41 A?C <br />MuUNTLN� WA 96093 <br />rHONE: �6�706 <br />PROJECTADDR[$s� 1509 32nd Street <br />1. All calls for inspection shall be made 24 hours in advance - phone (A25) 257•8810 <br />2. All wor� shall be performed in accordance with Ihis permit and current City of Everetl Design and Construction <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-BOD•424-5555 <br />4, A� per appeoved plan dated 9/3b/U9. <br />��. }[EEj> C1Cy SI:CBEI:J CLt3❑ �3i 311. t1Nr9 �jUC1Ilq COII9CCUCY1011. <br />/ <br />�� ��c �� �3o'�S� <br />Appmved lor Consirucli_oq Dale <br />/ M f=�-- <br />`.,' �: ���'r�_��/.C`." <br />FIPlAL INSPFCTION, / <br />Approvetl a; Con.,IrucleA Ddle <br />�. � . _ �,� �." � <br />,i ..fr:�ji. ' <br />SUi:9 <br />�RCFIG <br />C r� <br />OTNck - � <br />T77'AL <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />Y / <br />W <br />O <br />� <br />Z <br />0 <br />1'� , <br />0 <br />a <br />Thc undersigned ownedapplicant hcreby agrees to hold and <br />save harmless the Ciry ol EvereU fwm any and ail claims for <br />damages, wsls, ezpenses, or �:ausos ot action that may arise <br />because of installatioo and rcuintenance ol the improvement or <br />olher righbobway use heretr applied tor and futlher agrees W <br />remove same upon notice hom the City and to replace public <br />pr rty tlf�mage�rebv <br />��--��� S/y��� <br />Signature uf Applicanl Oale <br />WOFK AUTHOFIZED BY 7HIS PEflMIT MUST �E S7ARTED WI7HIN i80 DAYS OF DAT[ PEPMIT IS ISSUEO AND THEREAF7ER IS TO 8[ DILIGENTLY PURSUED <br />TO COMPLETION. THIS PEPIdIT h1AV BE CANCELLED BV THE CIN UPON ANY STOPPAGE OF WO(iK ON THIS PROJECT OVER 90 DAYS DURATION. <br />