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PUBLIC WORKS °e'B ''9'2°°1 � <br /> 00itublit Works Permil N PW0107-011 <br /> PERMIT �,, DEC 2 0 � <br /> ���I��� Bulldinq Permit a <br /> PUBLIC WORKS DEPAFiTMEflT Planning Reference• <br /> 3200 Geaar SUeet Public Works Fee S $Z 40 . 00 <br /> Everetl,WA 98201 <br /> (4251z5;�,aFesTiNc '�'�0�. �1Be <br /> � <br /> 01VNERNAME APPLICANTNAME Ti m Uore <br /> ANDADDRESS: STI0YIO111SCh CO�.1IltY ANOAODRE55: <br /> 3000 Rockefeller Ave M5404 <br /> EVERETT WA 98201 - <br /> PHONE: � 4z5� JHS-371B PHONE .�.�i� - <br /> TAXPARCELI.D.� PROJECTA�ORESS�. 1014 Cal _ or.n d VE <br /> ..�'� <br /> �ESCRIP710NOf Demo Building - Stabilize Water Main <br /> PROPOSEO WORM.: rQ /'����Q <br /> � � � p�f ( UafJ � �� <br /> PW <br /> PERAIIT CONDITIONS <br /> �, All calls lor inspection shall bo made 24 hours in advance- phone (425)257-8810 <br /> 2. A'�I work shall be pedormed in acwrdance with Ihis permit and current Cily ot Everett Design and Construclion <br /> Siandards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424•5555 � <br /> 4 . As per approved plans dated 7-3-01. � <br /> 5 . Keep city streets clean at all times during const ction. � <br /> ,!.i+:. V/ <br /> � � ;+,�r �: <br /> � E ' � U 2002 m <br /> � <br /> . ' <br /> Z <br /> 0 <br /> � � � � � � � <br /> su� o s 200� O <br /> a <br /> CI'rfYrm F Se�rvi ces� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> C ��_O The undersigned ownedapplicanl hereby agrAes to hdd and <br /> save hermless Ihe Ciry of Everelt irom eny entl all claims lor <br /> oaie damages,costs,e.penses.or causes ol action Ihat may arise <br /> ALP�ovM lo ons�mcuon because ol installaUon and mamtenance ol the imOrovement or <br /> - ���- other npM�ol�way use hereto applied lor antl further agrees to <br /> remo e pon notice irom the Cily anC fo replace public <br /> FINAL INSPECTION pr 1 am ed lhero6y. 6 <br /> AP�rovecf asConstruclea Oale M ' nK1 W, �� �'�l l�� __ <br /> S�gnaWreotApplqant Dale <br /> TJO COMPLET�iONE H SyPERM TEMRY BE CANCELLE�BV�THE CITY�IPONANYOST�OPE P OF WORN ON iMNS PRO ECT OVER 90 D VSIDUFE T ONPUPSUEO / <br /> d <br /> � . _ <br />