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� <br /> PUBLIC WORKS Date 11/10/1999 / <br /> Public Works Permit M pW9911-018 <br /> P ER M IT Building Permit R <br /> PUBLIC WORKS DEPARiMENT Planning Reference M � <br /> 3200 Cedar Street �Ury U 6 �� public Works Fee S $ 164. 50 <br /> Everett,WA 98201 <br /> (425)257rpQ70�}�STING --- Guarantee5 <br /> ly <br /> OWNERNRME 9Y' @ LUCJ CO. APPLICANTNAME ROIl Nelson-]lbbott C071S UCt <br /> ANDADDRE55: 47z7 Denver �V2. S. ANDADURE55: 164g0 NE 99th St. <br /> SfiATTLE W11 98134 Redmond WA 98040 <br /> PHONE: (206)763-2626 PHONE: �4ZS}B$1-31�I4 <br /> TAXPARCELI.D.M PROJECTADDRESS: SHZS BR011DWAY <br /> DESCRIP710NOF Site qrading and install 1►TB on parkinq lot for Sartells <br /> PROPOSE�WORK: ` <br /> I <br /> � <br /> � <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be perlormed in accordance with this permil and current City of EverP�t Oesign and Conslruction <br /> Slandards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> 4. Keep city streets clean at all times <br /> 5. Keep existinq catchbasins in workinq order. � <br /> 6. Work to be per plan approved on 11-10-99(copy attached) N <br /> W <br /> O <br /> � <br /> ,� � �rOSiu�+- O <br /> G���� <br /> F- <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �� /�./ �9 The unders�gned owncr/applicant hcreby agwes to hold and <br /> Q - save harmless the Ciry ol Everett Irom any and all claims for <br /> � mv ,r Co ruciion Date damages,cnsts,expenses,or causes ol action that may arise <br /> � because o(installation and maiMenance ot the impwvement c• <br /> / other righ4of-way use hereto a�plied for and furthor agrees to <br /> �/ �� 'r-/J- O O removo same upon nofice irom the City and to repWce public <br /> FINAL INSPECTION property damaged thereby. <br /> Approved as Constructed Date ^, f\��` �L I��� q <br /> 1V _1__� <br /> ignalure oi Applkanl Dale <br /> WORK AUTHOR2ED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DRTE PERMIT IS ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUED <br /> TO COMPLETION.THIS PEFMIT MAY BE CANCELLED BV THE CITV UPON ANY STOPPAGE C1F WORK ON 7HI5 PROJECT OVER 90 DAVS DURATION. <br />