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Date 7/15/2014 <br /> • �� . IPUBLIC WORKS PERMS'� �,�f,��,��a�MSPe<<,,;� u r��:vitioio�s <br /> l;: <br /> Cdy of Everett Pubhc Wor§s Ueparirrent puilding Permit#, <br /> ,. 3200 Cedar Strect <br /> . , - Evere^;1 V�JA O982n1 Plarning Reference# <br /> (a`�l�LJ7'V��O <br /> Public Works Fee 5' S 42,018 59 <br /> Other 5 <br /> ApPLICANT NAME AND ADDRESS: <br /> OWNER NAME AND ADDRESS: <br /> OOEING COMPANY JEFF DRAY[R <br /> PO BOX 3707 h1C OH-13 <br /> 3003 W C�SINO R� <br /> Sf-ATTLE Wq �812A EVERE.TT WA 98203 <br /> PHONE: 4252380198 <br /> PNONE: 425876259� <br /> TAX PAFCEL ID k 2A041000100200 SITE ADDRESS: 3003 W CASINO RU S5 <br /> DESCRIPTION OF PROPOSED WORK: <br /> PARKING L01' SOUTH [V[RETi SITLSS <br /> PERh11T CONDITIONS <br /> 1 All calls for ir.specFon shall te rnade 24 hours n advance. <br /> 2. A�I�vork shatl be perior•red in accordance wdh the p?rmit and current C�ty cf F.verett Des�,n a�d Con>t�uc!�en Standards <br /> and Spechcations _ <br /> 3 Cail LocaUon Under�7�amd Sero�ce a8 hrs be`ore you tlig TULL fREE NUMBFR 811 , <br /> ��. f'er approved plan � <br /> Your Pub'ic!�JorFs h <pccto� s Randy FPen Ca114253?9-i403 (or anr q�:�s'ons and!or �ns`edi�ns � � <br /> � <br /> � <br /> � <br /> � <br /> h <br /> � <br /> DesaiUlion Comme�ds QTY Amounl Q � <br /> P:.Rh�hlG LOl F:: 11eDGU �60C� �,.y '�. <br /> �„1 F�:,IJ Gf`:IF 5713'�? '.3E1357 � . <br /> �'�i SI I k. Il�i>{L(� r,713`�� 7:639 f.l; -� ^ ' ' < <� � � <br /> �� � �� � '�'1 t�' II�'`� a i <br /> 0CT 2 7 2014 �) - <br /> i+l:ht�()V.'I I!D(��,N!L�f`1�(�F C���Jt�IC�!JS <br /> lhc unders�gned aricNappl���herr�y��t,fr�r.s to hold n^.d <br /> save hannlr.ss�he Ciiy ol Gvcrr,t�from any and a�l clai�ns fur <br /> damayes,cos�s,expenses,or r,auses ol aclwn Ihat may ar�se <br /> . becausr,of mstallation and mamtenance o(the improvemerl <br /> ,J!,� � e, i � � / or o4ier righl ol way use hereto appl�ed for and lurther a9.,ees <br /> _ �'1��� . • ��G�j�"� . �o remove same upon notir.e twm�he city and to ieplar.e <br /> ApprovCd lor ConStrucbon DeIC pubfic property damaged thereby. <br /> sr'� - -- l�l,r / 1 iu�L7�Y- <br /> F SPECT ON Date �T�f=�—� <br /> Approved as Cons�ruclud .�—O — �_ Signa�re of Applicanl Da�e <br /> WORK AUTHORIZEU BY TIIIS PCRP7IT F1UST f�C SiARI CD\VITHIN 180 UAYS fF DATE PCRh1IT IS ISSUFD ANb THFRFAF�ER IS TO 6E DILIGCNLLY <br /> PURSUFD TO COMPI 1T70N. THIS PEHFITT t4AY OE ChNCiIL[D OY THE QTY UPO�J ANY STOPPAGE OF VJORK ON IHIS PROICCT OVf.R 90 DAYS WW1710N. <br /> I ✓V <br />