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PUBLIC WORKS Date I_,r.1�� <br /> Ns,1,//::7,1 <br /> Public Works Permit# ,r,ri i.50 r ;;-,n <br /> PERMIT Building Permit# <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 ;r ,00 <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDRESS: TEE EvEF.ETT Frrtpt.r.r: AND ADDRESS: y TITE _M <br /> 2~.°.y . (41-- 'e T-F AIR <br /> PHONE: 7.;5-,3 c',1).,. PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: <br /> DESCRIPTION OF - + <br /> PROPOSED WORK: ELOCR IT,::RT? PORTION f AL.LF;i. ,_; „z <br /> EAST 3TEE OF HERALD u T.TTI,D.ING FOR OFF—L DTN:4. <br /> PERMIT CONDITIONS <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 W <br /> II- <br /> ... Remove e bar- c7':Y.J iJ v f.. 7i az r3... io74,:q i r o w... ��":'�'�p1 4.t'w. <br /> �, <br /> Have personel available to supervise traffic ,then ✓ff-_,.'a,.3.n+; 1:, taking ; oe. CO <br /> of al ,�'-='� <br /> al <br /> 0 <br /> z <br /> 0 <br /> limn <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> i ���///��/ <br /> `/�C ` g 3/ 06 save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise <br /> A•F • ed for Construction D e because of installation and maintenance of the improvement or <br /> other right-of-way use ,ereto applied for and further agrees to <br /> remove s- -.e u•on otice from t City and to rep ce public <br /> FINAL INSPECTION ••e •ap.ge•.t ."eby. <br /> Approved as Constructed Date <br /> Signature.f,.plica Date ?/�/�G <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 />