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PUBL1� WORKS Date <br /> _ -_�,,_ � - <br /> P E R M 1 T Public Works Pertnit p <br /> PWOS,�o-G Q_: <br /> BuildingPetmitn rii5Qp-p__ <br /> PUDLIC WORKS DEPARTh1ENT Planning Relerence M <br /> 3200 Cedar$treet <br /> Everetl,WA 9820i Public Works Fee 5 <br /> . /� <br /> (425)257-B8i� �O�.�j� MAY O 7 2 O6Guarantee 5 y °1' �1"`� <br /> �7,..„ �r�rZ •'7� �c0 <br /> OWNEA NAIdE APPLICANT NAIdE <br /> ANDADDRESS r,i.T�?N P,i�P. ANDADDRESS: �i�N FA!yiEN <br /> 4i'_ SF::+ d lE <br /> L7�F'E ST'\�175 Gr �B"_55 <br /> PHONE: AHONE: <br /> a�s�::�e�r=. a��,F- =e��� <br /> TAXPARCELI.D.N PROJEC7AODRESS: <br /> UESCFIPTIONOF � '"" � "- - "`��`'�"' ' <br /> PPOPOSEDrvORK: 1lF;W oAS STATII�N� STf�}�� C)•,F WASH <br /> PERMITCONDITIONS Li�T lr� THkU 21 ELC{'K o0b YLAT <F <br /> 1. All calls for inspection shall be made 24 hours in advance-phone(425) 257-8�t�' ETT <br /> 2. All work shall be performed in accordance with this permil and currenl Ciry of Everell Design and Conslruclion <br /> Standards and Specilicalions. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> 5. ._ per ap�:^- .e1 plsn �9ared �__F-05 and tLe ,��bL�_ vr-�1:; inap��.rnc'� �ir�,:uor, :n � <br /> . �/� <br /> '_h< : . __ .. V/ <br /> � �.;;.' . <br /> � . � <br /> . . . �' O <br /> =-' H � <br /> U <br /> _':j 07 c;r Z <br /> I., � ~ ~ O <br /> . <br /> . �� c` r�/� <br /> , ` - <br /> `"PJ�.A �� V� <br /> ,_-i� �,.s�-" _ <br /> � .�`��. .._, _ O <br /> � a <br /> ACKNOWLEDGEAIENT OF CONDITIONS <br /> � .. ��/'f C The undersigned owneqapplicant hereby agrees to hold and <br /> 1QVU save harmless ihe City ol Everett Imm any and all claims for <br /> pmo� ior ConstmcUon Da�e dama9es,costs,expenses,or causes ot action that may adse <br /> �-, because oi installalion and maintenance ol Ihe improvemenl or <br /> � �_.r >_i�� other right-obway use hereto applied lor and tunher agrees to <br /> F 4 � �' �.1� . �� / < remove s�ime upon no co Irom the City and lo replace pubiic <br /> FINAL INSPECT�� prope a ged the by. <br /> Appmved es ConslmcteA Date �j�, ...� i,�_�-� �J�/.�,- /,�„J <br /> Sign rfe o Applicant Dale <br /> K'OfiK AUTHORI7.ED DY THIS PERId1T h1UST BE STARTE�\VITHIN 100 DAYS OF DA7[PERMIT I�S ISSUED AND THLREhFTER IS TO BE DILIGENTI.Y pURSUED <br /> 70 COL1PLEfIOIJ.THI;PFRIdIT 1.1AY BE CPNCELILD BY ihL CIN UPON ANY STOPPAGE OF WORK ON THIS PROlECTOVER 90 DAYS DURATIOt4. <br />