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PHONE: <br />PUBLIC WORKS <br />PERMIT <br />PU�LIC WORKS DEPARiMENT <br />3200 Cedar Street <br />Everetl. WA 98201 <br />(425) 257�BB10 <br />NAME �, <br />�aess: -SB JOHN <br />5108 COLBY AVE <br />EVERETT 0A <br />98203 <br />PHONE: <br />IJAME <br />TAXPARCELI.O.�' Zg053100403400 �ROJECTADDRESS: <br />DESCR�PTIONOP LF.TACf�D GWJ.GE!SHOP - ? S'NRY <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />� Date <br />Public WorkS Permit k <br />8uilding Permit R <br />Plarming Relerence fl <br />PuWic Works Fee $ <br />Guarantoc 5 <br />..:pn7 / <br />FW0707-007 <br />B070E-062 <br />525.00 <br />1. All calls for inspedion shall be made 24 hours in advance. <br />2. All work shall be pettormed in accordanco with this permit and current Ciry of Everelt Design and Conslruction <br />Standards and Specifications. <br />3. Cail L.ocation Underground Service 48 hrs. before yo� dig. TOLL FREE NUMBER 1-800-424•5555 <br />d. No di�t, mud, Cncka or debcia to Ue tracked onto coadway. <br />5. No buildinq matecials to be atacked in alley and allep ta t,e 'r;_pt clean ,,nd o;en <br />for vehicle travel. <br />. Pav� drivevay frrnn the pr.operty line out to the alie^; ��:,v,n�i. <br />'; i'0'i'_ '' .': I'.;GPECTION. CTLL RANDY AT 425-33?-74!i3 <br />1 jn �� n. - <br />'l .� � , t � r/ � r- �'� .' c . -� - i <br />! I <br />✓J ' r.C� <br />TQ P05TING ` J � j - �� , <br />O <br />� <br />� <br />a <br />-- — — — - ACKNOWLEDGEMENT OF CONDITIONS <br />� / %"> / Tha undersigned owner/applicaN hereby agroes to hold and <br />�� .� f/� �� S D7 sava harmless ihe Gity of Ev�erelt irom any and all claims lor <br />'t � damages. costs, ecpenses, or causes ol action that may arise <br />w nsvuctron Oat because ol ins�allaiion and maintenance ol ihe improaemenl or <br />�� � r/ _r-,/ olher nght-of-way use he'eto applied Icr and turiher agrees to <br />, �/ [�' v V remove same upon notice Irom the Ciry and to replace public <br />FINAL INSPECTI pro y da ed II�G1eb/v/.(((���9 <br />ApprevedasCo iuc�ed Dete i ���/���1� 1/ Z/_Gi� <br />� L L� � t <br />' SignaWr olApplicanl Date <br />— i <br />:70RK AUTHORIZEO BY 1H15 PERMIT MUST BE STApTED WItNIN 180 DAYS OF OA1 P. PERL7I7IS ISSUED AND 7HEREAFTER IS TO BE DILI3ENTLY PURSUED <br />lp (,p61PLf.710N. THIS P[RMIT 1dAV BE CANC@LLE� [1V TIIG CIN UPpN A1JY STOPPA ,E OP WOfiH ON THIS PROJECi OVER 90 OAVS DUiiH110N. <br />nntnnn�. it�C. <br />i r,. , . <br />