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PUBLIC WORKS Date 7!28/2004 � <br /> PERMITPublicWonsPermitN P�0907-032 <br /> Building Pertnit� <br /> PUBLIC WORKS DEPAR7MENT Planning qeference N <br /> 3200 Cedar Sireet <br /> Everetl,WA 98201 Aubiic Works Fee S $QS.00 <br /> �azs�zs�•seio pPR 0 5 00`,� <br /> 30 Fu�ii�iG °a"^'�' �""�`'1. <br /> OiVNER NAME PaUl Gacnec APPLICANTNAME <br /> ANDADORES5:�3O09 GOTH AVF, W ANDADDRES5: <br /> MOUNT'LpJ� Y1� 98043 <br /> PHONE: 4252b9b666 PHONE: <br /> TA%PARCELI.D.M PROJECTADDRESS: <br /> 1415 B[O3dL.iy <br /> PROPOSEDWORK:paVe Storage/Packinq behind building <br /> PERMIT CONDITIONS <br /> 1. Ali calis for inspeclion shall be made 24 hours in advance-phone (425)257•8810 <br /> 2. All work shall be periarmed in accordance wilh Ihis permit and current City of Everett Design and Construction <br /> Standarcls and Speci(ications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBEH 1-800-424•5555 <br /> 4. As per plsn approved 7/29/pq and the public vorka inspectoca directiona in the � <br /> field. � <br /> 5. Aeep city streets and alleys clean at sll tisea during construction. '�A <br /> V/ <br /> W <br /> O <br /> � _ . . ' :_.._ �i <br /> . .�._� .�. . <br /> � <br /> . .. _ � .. O.. <br /> '�^ <br /> �/ <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> G 7y/a��1 The undersigned ownedapplicam hereby agrees M hold and <br /> �- '"-' V _ save harmless the Ciry ol Everott from any and all daims for <br /> /'A�pprovetl lor ConStru tion ate damages,wsts,ezpenses,or causes of action that may arise <br /> � r�, O ) because ol Instaliation and maintenance of ihe improvement or <br /> �/�-� �1i"� �_ �� �_� other right-of-way use hereto applied for and lurther agrees to <br /> � �^_ remove sa upon no6ce irom the City and to replace public <br /> FINAL INSPECTION proparry d ged thereb <br /> ApprovtW as ConsWctetl Dale Y' i ! <br /> _�i�io <br /> Slgnaturo Ikam Dat� <br /> WORK AUiHORIZED BY THIS PERMIT MUST BE STAR7ED WITHIN 180 DAVS OF OATE PEfiM1T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUE� <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED[lY THE CITY UPON ANY STOPPAG[OF WORK ON THIS PRQIECT OVER 90 DAVS DURATION. <br />