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PUBLIC WORKS Datn , <br /> I Pubhc Works Permlt N . <br /> PER M I T Building Pe�mi1 M <br /> PU[�LIC VJORKS DEPAR7MENi P,amm�g Relerenca N ' � �- <br /> 9200 Cetlar Sireef <br /> Evr,rotl,WA 98201 puWic Works fee S <br /> iazs�zs��eaio Q 0 2007 <br /> TO POSTING.MAY :_: ��a�B��ee$ <br /> __ _ _ _ _ - - -- - _ - - - --- <br /> iOWNER Nn1Af APP�ICANT NAME <br /> AND ADbFES''� AN�ADDRE SS <br /> � . .. .:� �4:. <br /> i c^-- l�/,�, _ � <br /> PHONE. PHONE <br /> TAX PARCELID/ � PROJECTAODflESS. � � <br /> OESCRIPTIONOP � -"" ""--'---" � �~�--'-- ---���-' <br /> PROPOSEO WORK � ' � � <br /> PF.RMIT CONDITIONS <br /> 1. All calls lor inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be peAormed in accordance wilh this permit end wrrent City of Everetl Deslgn and Construction <br /> Standards and Specilicalions. � <br /> 3. Call Location Undarground Service 48 hrs. belore you din.TOLL FREE NUMBER 1-800-424-5555 ` <br /> 1"'� <br /> ��/� <br /> _ V/ <br /> .. .- «-•-- �-,.. /11� <br /> Ii1 <br /> O <br /> ' <br /> Z <br /> O <br /> � a � � <br /> � M•-f IVl C W�. � �I <br /> NL^ � )l` <br /> �:r���.�R,��'���* <br /> �� O <br /> a <br /> � <br /> ; <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �� /,.� ,.., / The undersigned owner/applicanl hereby agrees lo hold pnd <br /> � �/(�� • -/�n _ 8 _-�.(��� snve hermless Ihe City ol Everetl Irom eny and all cleim=lor <br /> li �ZLL r/.!F'L��'�.._ . �--�" dnmages,cosls.ezpenses,or ceuses ol ection Ihat may ense <br /> i An vud r Consirucuon �� � � beceuse af msta4albn entl meinlenance of ihe improvement or <br /> � /�` ��� ,� � I o�he�righ4af�wey use he�eto epplied for Bnd luhher eg�Bas lo <br /> .�`/ �L [ �" i I ramove ssme upon notice Irom Ihe City end to replace public <br /> �. FIN�INSPE I N propBf�ytlem�M@Ieby. ' i <br /> A rovatles nslmc�Pd Da�e � ��� <br /> c- �- <br /> C_/ Gib <br /> �'---''� � . <br /> �� ._. ... . . __ _ ... .. // <br /> S�g ure oMppl�cent � g�g <br /> ..�.._ l�.a.. ���..,77� <br /> WOHK AUTHORIZED fl�THIS PERMI7 MUST BF STARTFO W�THIN 180�AVS OF DATE PERMIT IS ISSUEDANU TMEREAFTER�5 TO BE DILIQENTLV PURSUED <br /> Iu COMPLE710N iMIS PFRMI7 MAV BE CANGELLED B�THf CITV UPON ANY STOPPAGE OF WOqK ON THIS PRQIECT OVER 90 DAVS DUR�TION. <br /> �rwr•i rar,� wr�BM.�NG <br />