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i <br /> � P�B�IV WOR�s Da'Q 12/16/1999 <br /> PublicWorksPermitb pNyg1Z�0�3 <br /> P�R M IT 8uildmg Permit M <br /> PUBLIC WORKS DEPARTMENT Planninq Referenr.c k <br /> 3200 Cedar Streel <br /> Everett,WA 98201 Public Works Fee 5 $ 35. 00 <br /> (425)257-8810 Guarantee S <br /> OWNERNAML O r�{ nqh APPLICANTNAME �S` SerViCeS <br /> AND ADDRE55� AND ADDI7ESS'. <br /> 1806 Broadway 117 Frontage Rd. N. Hld <br /> EVERETT WA 9820Z P1ICIFIC WA 980�7 <br /> PHONe: PMON� (800)660-6557 <br /> TA%PARCELI.D.N PFlOJECTADDPESS: ' 1H0G Broadwa <br /> oescA�rnoNor Curb Replacement/Relocation at Mini-Mart <br /> PROPOSED WORK. <br /> PERMIT COtJDIT10N5 <br /> 1. All calls for inspection shall be made 24 hours in advance•phone(425)257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everetl Design and Consiruction <br /> Standards and Specifications. <br /> 3. Call Location Undergmund Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 � I <br /> 4 . Keep city streets clean at all times. <br /> 5 . Proposed Storage Container may require a Buildinq permit and must � <br /> meet city zoning code requirements for setbacks. � <br /> W <br /> � <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ���� �� The undeisigned owner/applicaM hereby agmes to hold and <br /> /„� f a3ve harmless ihe Gity ot Everelt irom any and all claime�lor <br /> A wed�o�co 'stmcuon a�e damages,costs,expenses,or causes ol ar.tion Ihat may anse <br /> �.� , � because ol installation and maintenance of ihe improvemem o� <br /> �"�j- � � other right-ol-way use hereto zoplied br and furiher agrees to <br /> ��� �-� remove same upon notice irom the City and to replace public <br /> FINAL INSPECTION ' property damaged thereby. <br /> AOproveA as Constmcted Date ��r�l.,���7�/6� Q�- <br /> S(i/l/ J <br /> Slgnalure ol Applicant Date <br /> WORN nUTHONi7CD GY iNiS P[R�dIT MUS7 BE STApTED WITHIN 1B0 DAYS OF DATE PERMIi IS ISSUEO AND THEREAFTER IS TO BE DIUGENttY PURSUED <br /> W CDifPLfTIOt1 THIS PLR�d1T N.AY BE CANCELLED BV THE CITV UPON ANY STOPPAGE OF WORK ON 7HIS P�OJEC7 OVEA 90 DAYS DUPATION. <br />