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- Data 10/13/2004 <br /> � PUBLIC WORKS Pii0410-013 � <br /> Public Worka Permil N C0410-010 <br /> PERMITB���a��s PB�;�» <br /> PUBUC WORKS DEPARTMENT Planning Roferonca N <br /> 320C Cedar Sime1 4z5.00 <br /> Evoran.WA 98201 Public Works Fee f <br /> 1<xs�zz�"et� FI��I�nG MAY 2 1 20 5 Guarenleo5 <br /> OWNER NAME ^ APPLICANT NAME <br /> �NDADDRESS�. A� �� 7 749'H v1, NF: ANDRDDPESS. <br /> MIAF<YSVILL2 � yA»a <br /> 4252BBBOn1 <br /> rr+oNe: <br /> PNONG <br /> TAxPARCBLID.� PROJECTADDRESS: <br /> DESCRIPTION OF r <br /> PROPOSED WORK�. <br /> S10N <br /> ,�„� <br /> PERMIT CONDITIONS <br /> 1. All calis lor inspeclion shall be made 24 hours In advance •phone(425)257-8810 <br /> 2. All work shall be pertormed in accorJance with Ihis permil and currenl City ol Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 40 his. belore you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> 4. Conne�.-t �ide ��vAc pec City S[andacd N'a 601, 5i12, riu4. � <br /> 5. c�min���� :�11 r�u�Rop dwne�uts to the side n-rvec. <br /> Fj. jllDidll @Ci�plr�p �.r�llfC011�@daULGJ d'J deteceined b�� �.L�� P��L� ir Q�rrkn inrf��urfu� � nu�l�7 � <br /> An :tilf. I��n�•�•, nlr:�u b:il�•n, sw;il�•:-, O[ BCOD10I1 blankets. <br /> 'Uevelr,pmFnt of th1� lo� nhall eequire the iepcnva�ent of th�� •i� 1��Y �m vhich i�. f��mt.e m <br /> {i� Clly St.iiu�•�i��a �n�m I �u' .+n�� Uf «IP exiating 1�provewenta IIOCt.A Of thf OitB Uj� t0 O <br /> and ar�.�ao thio i�copecty'o full fiuntage. 12-02-04 2:21.PM <br /> q 041001U ' <br /> RU1L� 13H5.75 � <br /> MECH 90.OD <br /> PLUMB I�O.OQ O <br /> DRIVE c^5.00 <br /> SRL'H3 4.SU � <br /> q U410043 ,w <br /> SEk'ER 70.00 O <br /> Il� IL1T1' 1�96.00 <br /> YqTEF 800.00 a <br /> TOTAL 3791.25 <br /> GHEF: 3791.�5 <br /> A OM 720 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> /e � � Tho undereignad ownarlappuc�•A hereny egrees to hold eM <br /> �.vd save harmloss the Ciry ol Evei�tl Irom any and ell dalms lor <br /> mveA Im Cnnslm oai damages,r.osts,oxpensos,or cnuses of actim that meY adse <br /> becausa of Instelletlon and melntennnca ol the improvemenl or <br /> �� !� other dghto4way use heroto appliod lor and Nrther epreee lo <br /> �� ` � v j iemovn ssme upon rwtice tr the Ciry and lo replace public <br /> FINALINFPEC 10 propertyd n heroY 1/�� /� <br /> qppruvr'f as Consimcled Date �/����{.J� <br /> � SpwWreolApplkant Dale <br /> 7,0 COMPLFTOiON TMSrPERM TEMAVI BE CANCELLED BYT NETCITY�UPON ANYOSTOPPAGE OF WORK OR THIS PROJEC OVER 90 DAYS D RA ONPURSUED <br />