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� <br /> � <br /> PUBL1� WORI(S °°'° 1�'1�'°°4 <br /> Public Woiks Pcrmu M pW0401-015 <br /> �ie��' ■ 6uildmy Pormil a <br /> ,/ <br /> PU�LIC WORKS DEPdRTMENT Pl.mnmy Rclerenco x <br /> 3200 Ce'�fir Sueol <br /> Evo;ett.WA 9C201 Public WorAs Fcc 5 <br /> ��25,���osri�c ��� � 9 Zoo4 s���.50 <br /> Gu�mnloo S <br /> O'.ti!:FP M.\IE APPIICANT�JA61E <br /> A•.DApCRF�S '(�pm Fitzhugh ANOADDRESS'. <br /> 371? 109th P1 SE <br /> 1�rYJNE '�IORE�. <br /> -025239?422 <br /> TAIPAFiCELID � IFROJECTADURESS <br /> PESCFIP110NOf <br /> r�r�vo>eo�ti,xaK �onhtcuct Parking Lot <br /> PERhUT CONDITIONS <br /> 1 AI!talls lor inspection sh�ll Ue made 24 hour, in advanro - phone (425) 257-BB10 <br /> 2. Aii work shall be pertormecf m aceordance wi�n this parmit and cu«enl Ciry ol Everetl D^sign and Conslructicn <br /> StanWrds arxf Specil�cat�ons. <br /> 3. Cail Location U�derground Service 49 hrs. betore you d�g. TOLL FREE NUMBEN 1-800-424-5555 � <br /> 4. 7�: per appcoved plan dated 1/21/04 and the public wrk3 inapector's direction in � <br /> the field. � <br /> 5� Y.eep city ei:reet� clenn at all tiie� during conetructio�. <br /> W <br /> O <br /> � <br /> n2-03-c,;.; 4:�1P" Z <br /> 1� 0401.0]5 <br /> OTNtk 121.50 0 <br /> TUTAL I�1.SG <br /> t'.A`�F-a 1�j.,50 <br /> l� OM6416 j� <br /> V� <br /> � <br /> a <br /> r---r= �`^— <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ���. /� � �� Tho underslqned ownor/applicanl hcreby agreos to hold nnd <br /> � �� ;ave harmless tho City ol Evcrcti from.iny and all claims br <br /> apprmn�br Cr,ns .� airt damayes,cosls,o�pimses,or causes ol nction Ihat may ariso <br /> ,,���� � �� becauso ol InsL�llnlion and maintanance ol Iho Improvemont or <br /> � —,r�. �f � other riqh4ol-way usc hcreto.pPlied lor and fuAher agrcos to <br /> � /'� � remmo eama upon natico Irom Ihe Ciry nnd b replaco pWlic <br /> �-INAL i �P CTION propeny dainaged Uicreby. J,�� <br /> p�qrp,r+fa5G�5Vuctcd Odln ! .L-/' � 3�7�," <br /> —ZC�'IY.J—/- 'i - I <br /> S�p�aWreolAppl�cant Dnlo � <br /> y;pm aui�fnqVED fiv tr16 PFqu.IT IAu57 ElL STnR f[�YlITHIN I00 DAVS OF DATE P[RMIT IS ISSU[D AND THER[AFT[R IS TO OE DILIGENTLY PURSUED <br /> r��(.�,�!�•i f nori 11u11�-�.faAlT I�AY EiE:CnuCC!L!"[)CY iMf:CITV UPON ANY S70PPAGE OF�YORK ON 71115 PROJ[CT OVER 90 OAYS DURATION. <br />