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r <br /> t PUBLIC WORKS Date `i; tij: � .: / <br /> PERINIITPuGIiCWOAtSPOrtnitp�WO.]IJ`�' Ci(�4 <br /> DuilAing Permit M <br /> PUDLIC WORKS DEPAFTMENT Plannina Re7erence M <br /> 3200 Cedar Slreet <br /> Everetl.WA 98201 Public'JJorks Fee 5 �4��� ��� <br /> (42��'rDSTI NG sEP 3 0 2002 Guarantee$ <br /> O DNADDR 5�.�1i.-�� i'�� i i..}:317 [1A1.• G. L;�_�'L.�..t. APPULANIIJAM�GWflC(� Babr.o�:l; <br /> .%41� lGl�' AVB ANDADDRESS: <br /> Y F�G Bor. 1299 <br /> EVERETT WA C+H2O1 Mr�iir.oe WA 5+;�:7,? <br /> PHqNE: Q,�,J��G2�;�� PHONE r <br /> ',fip7y4713_i <br /> TAX Pl,RCEL I.D.� PROJECT ADDRESS� <br /> 5411 Colby Av�-nun <br /> DGSCRIPTIONOFr,]1�F,a �1vL}�.�.•7 $r�Y. 7.71 }�UW <br /> PROPOSED WORK�r <br /> i�4•1 <br /> PERMII CONDITIONS <br /> 1. All calls lor inspeciion shall be made 24 hours in advance- phone (425)257•8810 <br /> 2. All work shall be peAormed in accordance with this permit and currenl City of Everett Design and Construction <br /> Standards and Sp�;ifications. <br /> 3. Call Location Underground E��rvlce 48 hrs. bebre you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> J,��s i�.,r ��1��,, ��;-�-�,3 E�l.ji� Q��ted 5/5/U�. � <br /> r,.:��'IJ l:lt]� 't:2HeLfi Cl��dTl clt d�.l f-.�1',F,.: tj7.121]�t7 �'U11=:1:I �7� 't:lui�. �, <br /> Public sidewalk that may be damau• d d��rin� . ru; , � �„ = <br /> a �U51C$ p�+ �h.,�dp,q. . <br /> 7 � �lI B� <7L� Ii jJi?lr[_f.l .:�f- t.�lr', ,j71"i.i: !�l �)71 tlf ' � c �. - � �/� <br /> n� jn�;�ll �� hr,t7:a'O�r.YE344"�_ . .t . V/ <br /> PN/h�Nd 20.00 M <br /> FW/1NSP 20.OG li� <br /> 7U7AL 40.00 � <br /> f�'1-�Eh: 4� <br /> A OM784� � <br /> � <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> -��f - ^� 07 The unEersigned o�nedapplicant hareby agrees to hold end <br /> g.K�� �✓ save harmless the City of Fveretl Snm any and all claims br <br /> n��n�o�ea ior co�su n�onL Da e damages costs,expenses,or e ses ol aclion that may arise <br /> /,�! /�' b use 1 installation and in� nance ol tbe improvomcnt or <br /> _ /l� /j`. � K, J i o er ri bo�way use bereb z liod lor and IuAher a es to <br /> �� `��� r move me upon n�e�r�e Ciry�ntl to replac pu c <br /> FINAL INSPECTION r aged t e " � <br /> Approvetl es ConslrudeA Oa1e ��,���yyy '+ � /� <br /> 5�gna1 .e I li�t � Dale <br /> WORK AUTHOR12E0 BV THIS PEAMIT MUST BE STARTED WITHIN 78�DAYS OF DATE pERM1T IS ISSUEO AND THEfi[AFTER IS TO�E DILIGENTLV PURSUE� <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELL[D BY TiE CITY UPON ANY STOPFAGE OF WpRN ON THIS PROJECT OVEF 90 OAVS fJURATION. <br />