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�tlBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />�4Z5�25'-9'ri FUJ'IIIV� pPR 04 <br />IWNER NAME � APPLICANT NAME <br />,NDADDRESS� b409 FLE'�II'NG ST ANDADDRESS: <br />EVERETT fA 98:03 <br />PHONE: 9253981235 <br />TAX PAflCEL I.D. tl <br />DESCRIPTION OF <br />PROPOSEO WORK: <br />PERMIT CONDITIONS <br />Date <br />Publlc works Pormit a <br />Building Portnit H <br />Planning Refarence a <br />Publlc Works Feo 5 <br />Guaranteo S <br />PHONE: �OGiB��QIl <br />PROJECT <br />10/29/2003 <br />PW0310-032 <br />B0310-099 <br />59,990.59 <br />1. All calls for inspeclion shall be made 24 hours In advance - phone (425) 257-8810 <br />2. All work shall be peAormed in accordance with this permit and current City of Everett Design and Construction <br />Standarcls and Specifications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUM6tR 1-800-42A-5555 <br />9. Pu pee �ppYiiVed p13❑ dated 1�-?i-03. <br />� <br />appmveA as conslmneA <br />Z-ZC'U <br />Dale <br />Dale <br />. r <br />02-0?-04 1^:49r"hf <br />� 310U32 <br />OTHc?t �0.00�/�� o � <br />OiHEF 198.60 ����� <br />PW/RVU 1413.98 <br />� <br />W <br />F- <br />m <br />� <br />P(�/IH�F ?Bc7.96 �J <br />TOTAL 4490.54 ��� <br />CFiE�' 44.7�;�4 <br />A OMbSB' <br />ACKNOWLEDGEMENT QF CONDITIONS <br />'�A <br />Vl <br />O <br />� <br />Tlio undeisigned ownedapplicant hernby agraes ta hotd and <br />savo harmless tho Ciry ol Everett from any and all clalms lor <br />damagas, crosls, expenses, or causes o( action that may arise <br />bacause ol installatlon and maintenance ot tho improvement or <br />othor righ4o6way use hereto applied lor snd further agrees to <br />remov rnt� n nolice from tho City and to replacn public <br />ropeRy dapia d ha� <br />/�c .Z _ � _ p`�' <br />SlgnaWreolApplicam Date <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PUHSUED <br />TO COMPLETION. THI� PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WOfiK O4 THIS PROJECT OVER .M DAYS DURATION. <br />