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PU B LIC WO R KS Date 10/10/2003 / <br /> Publ�c Works Permit• po03]0-013 <br /> PERMITBuildingPermilM C031U-006 <br /> PUDLIC WORY.S DEPARTMENT Planning Relerence M <br /> 3200 CcWar Strcet <br /> Everett.WA 98201 Publlc Works Fet 5 545.00 <br /> (425)257•8870 Guarentee S <br /> OWNER NAME ,���p FLUFA INC APPLICANT NAMG <br /> ANO ADDR[SS�. AND ADORE55. CARL <br /> 3715 BF.pALYhY AVE STADIUM 8AR AN� GRILL <br /> E1'EP,ETT tiA 98201 <br /> PHONE. PHONE: j(1655�p8p7 <br /> TA%PARCELI.D.M OGy.i73926U06�0 rRo�ecrnooRess �»11 EkCX�DtiAY <br /> o[scaianoNOF DRIVEfiAY <br /> PROPOSED WOAN. <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shail be made 24 hours in advance-phone(425) 257-BB10 <br /> 2. All work shall be perlormed in accordance with this permit and curreN City ol Everetl Design and Construction <br /> Standards and SFecilications. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-000-424-5555 � <br /> 4. PEk AYYk�NEU �IT'E PLAN DATED 1�/10/03. � <br /> '�A <br /> V/ <br /> SC-16-03 1:27PM <br /> p 0310006 O <br /> � BUILO 23.50 <br /> �,� PLUMB 7.:9 ' <br /> SRCHG 4.50 <br /> 2.� > , N 0310013 'L <br /> L DRIVE 45.00 O <br /> 71.8 TOTAL 80.00 <br /> C::ASH <br /> `3 -� �C S A OM4993 � <br /> � <br /> ' ' J -C�,� ��� O <br /> �'" �iG �li� --,.i a <br /> l3�'_: �.'c-S� c 1�� , ,�,c.i <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> /�// /��� . O / 7 � The undersigned owner/applicaN he�eby agrees to hdd and <br /> --��=u�F� _ '�� �«� � ,/ save harmless the City ol Everefl Irom any and all claims tor <br /> }���' damages,costs,expenses,or ca�ses of action that may arise <br /> qpp JM Ior Conslruclion Date <br /> because ol installation and maintenance ol the improvement or <br /> other righl-of�way use hereto applied lor and further agrees to <br /> remove same upon notico}rom the Ciry and to replace public <br /> FINAL INSPECTION property damaged thcreby. <br /> ppproveOasConsiructed Date � 1o��6—V 3 <br /> —i- <br /> Signature ol � nl Date <br /> WORK AlIT110RIZE0 BV THIS PERMiT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND T1IEREAFTEN IS TO BE DILI�ENRV PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY TI1E CI7V UPON ANV STOPPAGE OF WORK ON 7H15 PROJECT OVER 90 DI1VS DURATION. <br />