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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Codat Streot <br />Everetl, WA982��01 i1� <br />(425) 257rQ� t�(u.'G{ n�' /u <br />� V �9 �J.�A nn v-�----- <br />Date ��/�Z��� <br />Public Works Permit a ��/%� <br />i-- <br />Building Permit a <br />Planning Roleronca x <br />Public Works Feo $ �'-" <br />Guaranteo S <br />OWNER NAME APPLICANT NAM <br />ANDADDRESS:�O� �,(��\ K� ANDADDRESS: �P� ��r� <br />K <br />N�rvc.�3 S� �-+ wa ��f' �T 9� �� ST,��K ,s <br />PMONE�. 1L""✓`^'VtUS Z_5 OOII�- <br />�1 -/ 7 <br />PMONE�. ��LS '" �2 S"� �� � 3� � 1 I 3 1 <br />TA%PARCELI.D.I PROJECT D SS' <br />V.) <br />r°�no osEo WORK: GI'eQ V� ^ V P C}�' P��� W1 1 SL G:C.CU�MV�a�'��t1v� <br />:'o14XLt3�A CoE �YY� � L Ci � e �1 �.Lyp,� <br />n r- . .� .. -- .._ i r _� .�_� <br />PERMITCONDITIONS C� �(� �'1• 259�- OO�F-� <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance with Ihis permit and current City ot Everett Design and Construclion <br />Siandards and Specifications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-024-5555 <br />�, .�,�v;�� ���ro���� -�l��y�s. <br />� �GeP�P Ci� s�iv�ee-�S G(e��► � � <br />' 1 <br />�Z <br />�oved lor Construcuon Date ' <br />�, k�-� Q�eW�.-- s- 5- o0 <br />fINAL INSPECTION <br />Appwve.d as Construcletl Dale <br />�� � -�r,��. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />F- <br />� <br />m <br />O <br />Z <br />O <br />H <br />� <br />O <br />a <br />Tho undarsi�ned owner/applicant hereby agrces to hold and <br />save harmlass Iho Ciry o� Evcretl Irom any and all claims lo� <br />damagos, costs, expenses, or causes of action that may anse <br />becauso of installation and maintenance of tha impwvemenl or <br />othar ripht�ol-way uso haroto anplied for and hvther agrees to <br />romovc same upon noGco Irom Iho Ciry and to replaca public <br />p e damaged Ihoroby. <br />_ ro,L�3 9 <br />SignaWreolApplkanl Date <br />WGRK AUTHORIZED BV THIS PERMIT MUST BE STARTEO WITMIN 180 DAVS OF OATE PERMIT IS IS:iUED AND TNEREAFfER IS TO BE DILIGENTLV PURSUED <br />TO COMPLETION TMIS PEFMIT MAV BE CANCELLED BV TME C17V UPON ANV STOPPAGE OF WORK ON tH15 PRQIECT OVER 90 OAVS DURATION. <br />Dr,� coc3-r�3G <br />