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OWNER NAME <br />ANf1FDORE55: <br />PHONE: <br />7A% PAFCEL I.D./ <br />DESCRIPTION OF <br />PROPOSEO WOqN�. <br />PERMIT CONDITIONS <br />PUB��c woRKs <br />PERMIT <br />PUBLIC WORHS DEPAR .MENT <br />3200 Cadar Siree, <br />Everetl, WA98201 <br />(425) 257•BBi�i <br />APPLI"ANT NAME <br />. ANDADOfiE35: -••-;��� <br />IPHONE: <br />I Dale - <br />PuWicWorksPermilk � �� <br />Building Pormit # <br />Planning Raterence M <br />Public Works Fee E <br />Guarantee E <br />TO POSTING_ JUN„1..02�08 <br />PRQIFCTADDRE99: <br />..._...;_. �..� ...., <br />1. All calls lor inspeclior. shall be made 24 hours in ndvence. <br />2. All work shail be peAormed in accordance with this vermit and r.urrent City of Everett Design and Conslruction <br />Standards and Specifications. <br />3. Call Location Underground Service 4B hrs. befo�a you dig. TOLL FREE NUMBER 1-800-424-5555 <br />; h �. . <br />.h.> I . ,� � . <br />ge xa�.i�lnn pe� ,,� the picn�.ct. <br />:31i '_'l'J.^'1::^ �_-. � .-':1 3: i�?t?CCj.Rsij ��' [h'� t.i'::. <br />2 Se.^.CF, 92LE���' �� - �� _ OT FCOL'1Di1 t�lAff4;E29 <br />..-�y�, erns i �,n ,. .,�t � � . � . .: i,��;:.n com�.i�r.ion of th� <br />� il :�2 �1�c, e.=CT�iC. <br />i:cr_, mu��, c�.�.l:� nc debcit� tr, I>a re�_Ice�i � nro coa4�•, . <br />bui7�iiii<I m=�terr�7s t:� t� siacked r�n r.idov;�lks and <br />.�. r,.,�. ..,r.,{.....{..1:3rt tr•.3v..1. <br />. �]lL^C SJ3:BC RELfC �v.:( � A�._�y(: gl:c�•�... .. <br />. i. .:... . , .. � . . ':t' f': ' -_ _ . <br />: ; . <br />�. ..•.,�'. _ fl /! lG <br />-J "�= - - -- - --- <br />, ' eU I Conslmclon lo <br />� ��-- z .l` z-6 -og <br />,. � <br />� �-IN4L INSP[Q'T�)� �� <br />' ApPmved as r� u.im�.tr� Onlo <br />i <br />., n.___ _. ��. ' <br />ncKwow�e_o�EM[rdt orcoNotnoNs <br />Ihe unhervgnetl ownm upphcanl he�CUy agrecs lo IiolA anit <br />save harmless the City ol Eveielt irom uny anA all claims lor <br />damages, cosis, eMpenses, or causes of ac�ion that may arisr <br />bocause ot installation and mainlenance M Ihx improvement oi <br />other nghl-of-way use he�elo epplied for end further egraes to <br />remove same upon no6ce Irom the Cily and b replece pubhc <br />propeny demaged �hereby. <br />���f'J/C -�.''`% C� <br />SpnaWreclAppq�cam Da1e <br />WORN AUTHORIZ[D UY TMiS PERMIT MUST PE STAPTEO WITMIN I80 DAVS OF DATE PERMIT IS ISSUED AND THEREAFiEii l:'. TG BE GLIGENTIY PURSUCU <br />TO COMPLflTION TNIS Pf.RM1T MAv IiE CANCELLED BV 7HE CITY UPON ANY STOPFAGF.OF WOPK ON TMIS PHQIEC7 O:EF �JO C4VS OUilATION. <br />irw��i��rx,� onunnii n�c <br />Z <br />O <br />Y/ <br />� <br />a <br />