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. . / <br /> i" <br /> PUBLIC WORKS Da�e 10/22/2002 <br /> PERIWlT PublicWorksPermitk pW0210-031 <br /> euilding Permit u E0210-003 <br /> PUBLIC WORKS DEPARTMENT Planning Reference# � <br /> 3200 Cedar Sireet $5 0. 00 <br /> Everett,WA 9ti201 Public Works Fee 5 <br /> (425)257-D810 ��� <br /> Guarantee 5 <br /> OWNER NAh;E APPLICANT NAME <br /> ANDADDRESS: $(yOl HOLLY DR ANDADDFESS: <br /> EV�'RETT WA 9820 <br /> PHorve: 4 2 5 3 5 318 5 2 PHONF: <br /> TA%PARCELI.D.a - PHOJECiAODRESS: $QOZ HOLLY DR <br /> DESCRIPTION OF � • r , EQUIP <br /> PROPOSED WORK: <br /> PERMIT CONCITIONS <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 perrnit 2nd current City o(Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 frcs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4 . �s per Public Services approved plan dated 10/22/02. W` <br /> 1'� <br /> ��/� <br /> +�f�...-�5--u� ,J'�.1U'��:;`�; V/ <br /> iui;.ii 5�4.='; M <br /> 5%CHu 4,:ii W <br /> !1 u2100:-1 O <br /> 71''ck SJ.,Oi? ' <br /> i':'i4_ 598,`.� <br /> _.r_ �_, . ;r� <br /> „ �;��f = � <br /> `�A <br /> vI <br /> � <br /> a <br /> ACKNOWLEDGEMENT O!= CONDITIONS <br /> l� vy_ lO 9.2 D The undersigned own.:dapplicanl hereby agrees to hold and <br /> �� � �� �� save harmless ihe City of Ev�'^.tt from any and all claims for <br /> A proved ior Cons �on oaie dama9es,cosls,ezpenses,or causes of aclion that may arise <br /> . because ol installation and maintenance of the improvement or <br /> other right-of•way use hereto applietl for and further agrees to <br /> remove same upon notice Irom the City and to replace public <br /> FI AL INSPECTI - property damaged thereby. <br /> Approvyp�asCon c Date <br /> /`��� �'2 — l��� SignaNre o�Applkant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 780�AYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY�E CANCELLED BY THE CITY UPON ANY STOPPAGE OF WGRK ON THIS PROJECT OVER 90 DAYS DURATION. <br />