|
■/�� C Date �. :; : ..�;.i���.- • i
<br /> P���'�/ f,[�O���IIi�',�j�li (�! :G PublicWorkSPermi�+�[�Wi;tiil4'iili
<br /> ����'�� F��'� ���*�� BudAmgPermilM COb04-003
<br /> PUf3LIC WORK547�G/���11787�'�1- Planning Relerence N
<br /> J200 Cedar Strcct � Pubhc Works Fee$ •-r
<br /> e�a�eu.wn�ezq�l'nFfIG 4it�.(10 a.:_,.��u
<br /> �4251257-881Q� f.{}�I�0,1 Guaramee S
<br /> 1 �:t�. f1,1�0.��
<br /> OWN(HNAIE � � ' APPUCANT ilk.:.
<br /> nNonoo���'s!'fuv�Eu -,�N7�.h�-Ti�FS 1 F;�� nNonoor�E�t.7u.iri
<br /> � >o4z ' � g:';.(�' ( SLP ., � 2u07
<br /> p�, Eu., ���I4C - -n �+ �
<br /> F.VEkE7"f WA �B['{:�; gii.r�;� 1 P�JT�NU... ........�...................
<br /> � riiorar, f.,�+:';�;1
<br /> rHONe� 4G5y7i�7:.47 �' •�• ..
<br /> 1nx rnr,co i o� 1L � �qo��i�-���._.. _ti ,-
<br /> �i G3B?:�°blla;
<br /> ,n,.i r. �. 'ra.�...i..
<br /> n[savirtioN oF.F� ;Fi�-L.i;?,- M< � -
<br /> rr�oros[n wonh...
<br /> PERMITCONDITIONS iC��S :1 h :- , r.�'''�F �.. , YL1�. ��L
<br /> FV2,hETT
<br /> 1. All calls lor InspecUon shall be made 24 hours in advance - phone (425) 257-8810
<br /> 2. All work shall be perbrmed in accordance wi�h Ihis permit and current City of Everet� Design and Construction
<br /> Slandards and Spedfications,
<br /> 3. Call Loca6on Underground Service 40 hrs.before you dig. TOLL FREE NUMBER 1•800•424-5555 �
<br /> 4. w::tl: to I.�.. d�:�::� �.�ei �p���cevad �.� 3n da�..-.�� 4, -.:,�;r: . ,�:y a•-.r_a -..�: �
<br /> � r r.r,. ,;, '��/�'
<br /> . . ' �nnect s I- a=.�,,-.i ��:.i ..�ty :,tan I .L 1 N'y - V/
<br /> � , C� nn��-t ail c���-�fto�� d�.aine7 synr�m �.t-vid i f�,� rhi-- 1�_
<br /> " TneY 71 Fro ,inn •uitcc.l n � ncus �a de[�inine�t by the. Fubli.� • : i . �.{ .. . : � Y
<br /> • _� � . .:� _ � ., .�_�1 d ,. . fJ. ' ' I'3V ',�3 � :'.13 �p , . . . . :P, � ❑�?'. : . ��
<br /> , .j� ,� . .. : 1 - . ' t L' . . . '_ � i. . ..( li• ..' t . ) �'::Ibl. O
<br /> �
<br /> Z
<br /> O
<br /> �
<br /> O
<br /> a
<br /> ACKNOWLEDGEMENT OF CONDITIONS �
<br /> / � � The undersignetl ownerapplicanl hereby agrees to hold and �
<br /> '—�-�/S/,� � �5,�r, S .��� ( save harmless Ihe City ol Everett Irom any;md a!I claims for
<br /> _/�f�/ L".:'�-�-'���--- - damages.cosis,ewpenses.or causes o�acLon Ihal may arise ,
<br /> pp,o�re i �Ca,sn����no�� ���'�" because ol installation and mainlenance ol the improvement or i
<br /> ( ��� �f �� othar ngh4o4w �oreto apphad lor and lurther agrees to
<br /> �� `� %�7�� / remov s notice Irom Ihe Ci�y and to replace public i
<br /> --�-- --..---. .. p agetlthereby
<br /> �1NA INSf LC N� Z �� ��
<br /> AVf'ovrtl � C. .w1r�1 D Vc /—� � �J
<br /> ._ _ _.. __"_._--
<br /> $�qn�lwe ol Appbcanl Daie
<br /> i��,� �V,r�i iil t u rti'ui";•1��1 ��r.�n���nr 1f3(�CANCf�.0 f D'B�1�fT�'tiv l 1 ON ANvrSi�O�PAGE OP WORK ON tMNS PROJECT OVER 90 DAVS DURAT ONPURSUED
<br />
|