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Datc :.:;'_7/,�,UU1 � <br /> � PUB�ic woRKs <br /> PERMIT PuhlicWorksPermitp PW0112-026 <br /> Building Permit a E0112-020 <br /> PUDLIC WORKS DEPARTIdENT Planning Referencc q <br /> 3200 Cedar Street <br /> Q Everetl,WA 98201 Public Works FCe 5 $�5, �p <br /> (4 2 51 25 71-881 0 APR ,, a, <br /> _ POSTING � " � Guarantea5 <br /> OWNERNAIdE STOPMU ELLEN APPUCANiNAME <br /> ANDADDRE55. `41 � 5TH ST �Nf1AD0(iE55: <br /> EVERETT W� 9;;,;p� <br /> PHONf:' ( G?J J .".��—��Q'J rHONr-�. <br /> lA�PAFCELI.D.M QU4�I���?'a�U�..�,�IIO PROlECTADOR[SS ya`,� �_'�jLBY AVE <br /> DESCRIP710NOF ;dEW UETACHEU GAPA,E <br /> PROPOSED WORK. <br /> �+ i,i s Lvr :iE. LGT �' s & ; <br /> PERMITCONDITIONS 1/:: 1.,OT 34 BLY .',�3 HILTUP:' ;:� <br /> 1��' APUN <br /> 1. All calls lor inspection shall be made 24 hours in advance•phonc (425)257•881 <br /> 2. All work shall be performed in accordance with ihis permil and current City of Everetl Design and Cons�ruction <br /> Standards and Specilications. <br /> 3. Call Location Und, rground Service 48 hrs. 6efore you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> 4 . ��. .�1L�. =-�. ii�.:W:i:_ i����.� .- .. L1 �.� .:�.1(�._ .�� lJ��l . � <br /> � <br /> � <br /> � <br /> OL W <br /> ,_'_t� _., O <br /> :H� .' <br /> ve <br /> G�. . Z <br /> .cn O <br /> �,A <br /> V/ <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CCNDITIONS <br /> / /� O/ Th�undersigned ownedapplicant hereby agrees to hold and <br /> � save hartnless tho Ciry ol Evcrefl irom any and all claims for <br /> .�r fi�io� p�ie Aamages,costs,ezpenses,or causes ol action thal may arise <br /> � because of ins4�llalion and maintenance of the improvement or <br /> � ��/� � _ �$ _� other righlol-way use hemto appliad lor and further agrees to <br /> remove me upon notice Irom tlie Ciry and to replace public <br /> FINAL INSPECTION rope maged it�I re�y /f <br /> ApprovcW as Conciructed Date �'r�J��`�r�//���=Op� <br /> /� <br /> J�� <br /> S�gnaWreolApplicanl Dal <br /> WORK AUTN0f712E0 BY THIS PERMIT MUST BE STARTED VJliliiN 180 OAYS OF DATE PERMIT IS ISSUED AND THEREAFIER IS TO BE DILIGENTlV PU(iSUE� <br /> TO COMPLETION.71115 PERMIT MAV BE CFNCELLED�Y THE CITY UPON ANY STOPPAGE OF WOHK ON THIS PROJ[CT OVER 90�AVS OURATION. <br /> 1 <br />