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PUBLIC WORKS Da�e �//�p� <br /> PE R M 1 T Public Works Permit p <br /> Buliding Permit k <br /> PUBLIC WORKS DEPARTMENT Planning Relerenca N <br /> 3200 Cedar Strcet <br /> Everetl,WA 98201 Public Works Fee S <br /> (425)257�8810 <br /> GuTrantee$ <br /> OWNER IJAME /�� ,ce��pp APPLICANT NAME <br /> ANDADDRE55:"�'Ll..� ./�rtf-1L ANDAD�RESS: �/wE <br /> �,2, �1by 4,�.�� 1,��. <br /> PHONE: �K 339• /39 3 FHONE: <br /> TAR PARCEL I.O.M PROJECT ADDRESS: a4Z !- C�LO <br /> DESCRIPTION OF • <br /> PROPOSED WORK: ��r� D!Sp L4 CCLh n L <br /> / y /� / �/G�bhG� PG/"/�//!(, <br /> S�b4C.:'' /�'+ �sh7 CT �Uild/h • ��+rlMi� f,l� <br /> �4'r,Eir-� 9000� f�nr q�� JZ}..c S 9 <br /> v /s o�. <br /> PERMIT CONDITIONS � <br /> in <br /> 1. All calls for inspection shall 6a made 24 hours in advance-phone (425)257-8810 <br /> 2. All work shail be peAormed in accordance with this permit and currenl City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Cail Localion Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> '¢ �OP//�� [�r' .f�frCG S�io�� 6l 4/�`'f �/Gtn { /"GS�6hCi�i�/�� � <br /> / '�A <br /> VI <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> F- <br /> � <br /> I a <br /> NCKNOWLEDGEMENT OF CONDITIONS <br /> ��Q ` �z�f s�j�/�� The undersigned owncr/applican�hereby agrees to bold and <br /> i��o�i % save harmless Iho Ciry of Everefl Irom any anC all claims lor <br /> Approvea Ior Construcuon pa damages,rnsls,eKpenses,or causes of action ihat may anse <br /> because ol installation and mainlenance ol the improvement or <br /> S � �Z other right-of�way use hereto applied for and further agrees to <br /> remove same upon ootice trom the Ciry antl to replace public <br /> FINAL I PECTION property damaged thereby. <br /> Approved as Conslm[led Oate <br /> fJ •�y•°y <br /> Signatu olAppl¢a t Da1e <br /> WORK AUiNORIZCD 6Y THIS PERMIT MUST BE STAHTED WIiHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEF t5 TO 8E DILIGENTLV PURSUED <br /> TO COMPLE710N.THIS PERMIT MAY BE CANCELLEO BV SHE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DUR�TION. <br />