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� <br />�����C �0��� i <br />� PER11lIIT _ - <br />- <br />PUBLIC WORKS pEPApTfVI�N'f `' = <br />__ _ _ ..: <br />>, �;;�''� 3200 Cedar Street <br />Everett, WA98201:: _ <br />(425) 257-881'Q - : <br />OWNER NAME APPLICANT NAM£i;=-� <br />ANDADDRESS: T;.7�,1 m7�,i t, p-�T�LEEPT ANDADDRESS. -'' ' <br />_ ,., ,; , , : ,; <br />�' ��� 13 uF:ki�dL� �+�•.'E <br />E�'ERETT t,�7A � �? n 1 <br />PHONE: y�.��� J.�S�f_�� PHONE: <br />TAX PARCEL I.D.# <br />DESCRIPTION OF <br />PROPOSED WORK: r1F'P���HFS j �,�F?;f;F <br />PERMIT CONDITIONS <br />PROJECTADDRESS: <br />�, <br />Date <br />Public Works Permit # <br />Building Permit # <br />Planning Reference # <br />Public Works Fee $ <br />Guarantee $ <br />' '1_ _r_ii,, <br />��61�70?-��lE� <br />P.��?n7-n0� <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />,,. ��z�,_t __�r,tr�_�l .x.�, ��_��suir=ct. <br />� . PfQ �1Ct � IQ11C�, r�cks OC CiF_I: C i^.+ _ _ �=�::• � L" �<;'}C.;�`t _�i1�: _ � �= ; � .,;_i? 3 a ._ - <br />6. N� k,uil.ding m�terials tc, k�� �ta_r.keci c�n sidEwalks/�,ll�y° w�,� �sn�1 �: ;c}���,,;a11�:-„ :s l i�_•,� °�„�.:.:� <br />ta be kPpt rlean an� oPen f�+r �?er�e�trian t.ravel. <br />?. �av� C�Y'1.1r@6dd�7 f Y'�'�111 th� p?•operty line out t� t.he all?� pss�in�_; . <br />F�R PTJE�LIC [,+1nFF."a IhJSPECTION5 CALL F�:IVDY ALLEN A'I' 4?5-339--7 �+?' <br />� <br />� + _�2��� - C� ` D % <br />Ap oved for Construction te <br />FINAL INSPECTION <br />Approved as Constructed Date <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and <br />save harmless the City of Everett from any and all claims for <br />damages, costs, expenses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other right-of-way use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />pro amage , hereby. <br />� _.� r <br />C ��` � � 1 <br />t'�� -n�' ` ` �/ L'-�/ti. c'S J �/ � `;� <br />Signature of Applica D te <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />EPWP (7/06) DATABAR, INC. <br />