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Date �I=U,��(!f7 <br /> PUBLIC WORKS I P�awwo�s�em,ax Ytin7nq-nq:. <br /> PERMlT Buildmg Permit k <br /> PUBUC VJORKS DEPARTNEIJT Planning Relerenc�e <br /> 3200 Cedar Street <br /> Everett,WA 98207 public Works Fee 5 :�5,p p <br /> (a25)257-8810 <br /> Guarentee$ <br /> g .. 5'I•2c,:, '� <br /> OYJNER NAME APPLICANT NAME <br /> ANDAD�RESS: gifNDFkLhNG CS.AI6 ANDADDPESS: <br /> 4b21 COLBY <br /> EVEP.ETT iiU► 98203 <br /> P"o"E: q252589627 �"E <br /> TAXPARCELI.D.N OOQO7BO1�OZ9O2 PRaECTADDRE55: 96�7 COLEY AVE <br /> Pfl PO EO WORK: �h� �+ 5ECUPITY GA7'E . <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance. <br /> 2. Ail work shali be perlormed in accordance wilh this pertnit and current City ot Everett Design and Construciion <br /> Standards and Specilications. <br /> 3. Call Locafion Underground Service 48 hrs.belore you dig.TOLL FREE NUMBER 1-800-424-5555 W <br /> �. Thi� fencu 5� qate mu�t be reaoved if the �ity ever needa to use thia a11=y foe � <br /> r_,;nicipal puxposes includinq, but not limited tc, conetcuction of the alley a�d � <br /> �r, ��ntenance of the se�+er main. � <br /> �' ti ✓crz� /nvS�6¢ /nS�ltec� /n �/5e �nce c�.� �e i�er� W <br /> 5.�� c�,� �c �Dr�ar�/ cvi'oc er�avf /� t�o jv� Co,�s{•-v�.fc�� O <br /> !'!/U�/T��+�7T 7J7!^JUj�'7 /{ 'f�9E C/�Y /7CCCT�.1 '�G Lc;['r.0 [h f�iC � <br /> �� <br /> Se'Cc�,_/ /�r�4/i� , O <br /> ,rA <br /> V, <br /> O <br /> a <br /> - ACKNOWLEDGEMENT OF CONDITIONS <br /> ',� � ���/�� The undersigned ownedapplicanl hereby agrees to hold and <br /> save hartnless the City ot Everefl irom any and all claims lor <br /> Aamages,costs,ezpenses,or causes ol action that may arise <br /> rov Ior Construclron s rDate because of inslallation and maintenance ot ihe improvemeM or <br /> ��J �/� other right•oi-way use herelo applied for and futlher agrees to <br /> /Z' �^d��� remove same upon notice Irom the City and to re lace public <br /> FlNAL IN C71ON property damage(���hereby. <br /> Approv s Canslrucletl De�e • ' � \\, � � � <br /> I � i. 41J.�^.�"CF'�Y����/� - <br /> l SgneluredAppMcanl Dele <br /> 1 <br /> \ , <br /> W017K AUTHORIZED BV THIS PERMIT MUST BE 57'ARTED WITHIN iB0 DAVS OF DATF PF.RId1T IS ISSUED ANb'YHEPEAFfER IS TO BE�IU^ENTLY PURSUED <br /> i0 COMPLETION,THIS PERMIT MAV�E CANCELLED BV 7HE CITV UPON ANv STOPPaGE OP WORK ON THIS PROJECT OVER 90 DAVS Ol;i�nTION. <br /> Evwr�r,ocl [v,rnnnR mc <br />