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` . I -_ � � � ...R:.. <br /> � <br /> \ / <br /> Date . , :U/'-�)��� <br /> PUBLIC WORKS PublicWorksPermil# '''1�7fj- ` <br /> PERMIT ="'°3-�'� <br /> Building Permit� <br /> PUBLIC WORKS DEPARTMENT Planning Reference J� <br /> 3200 Cedar Sireet <br /> Everett,WA 98201 public Works Fe�;5 � . . . . ' <br /> (425)257-8870 <br /> _ � Guarantee 5 <br /> z � - <br /> OWNERNAMB _ APPLICANTNAME � -� <br /> ANDA�DFESS �� Ij iiaViri _ ANDADDRESS: � � . . . .. <br /> � . C <br /> I� iIt� n�rc 5 .. . " � l �'� , ZZ'� -• �� <br /> .'*,_���..r.a.iT� .. . , £'�'!'' 2C'-', <br /> PHONE: .i.i����_�7�Et�9 PHONE: ;�tiri'i�L��c$_�. <br /> 'ra' <br /> TAXPARCELI.D.# � PFOJECTADDRESS: ,�f% <br /> �iii'i_�1:OC�Iif�1J'.�Ji �::'��;'. �Ll:, - <br /> DESCFIPTION O� <br /> PROPOSEDWOPK: �li(::':7 PFTi,:L EI!T7.��I?:�1 <br /> � <br /> , .�(� ���-� _ )�:. Or� . <br /> PERMITCONDITIONS �T� � '-�� � r. :: � �_. _ <br /> ,,,,,� � <br /> 1. All calls lor inspeclion shall be made 24 hours in advance. <br /> 2. All work shall be perlormed in accordance wilh this permil and current City o(Everell Design and Construclion <br /> Standarcls and Specifications � <br /> 3. Call Location Underground Service 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555 L <br /> r <br /> ,_ t � 4,+ <br /> � _ c� �1 �, m <br /> 1 � � � r c�� O <br /> ^ � <br /> 1 n . �i � �f.. r i Y � -� 1 � <br /> . � v�� .L � � t ... . � <br /> � j"-�GL .- . „� •� .. <br /> L� � �LL L' 1 ,4.� � _4M-y�,16 - '��;'. � <br /> � '. <br /> �L) � �`` ': � <br /> - . �,.,,, .� �` �' <br /> � � � - <br /> _ i . � •n a ro '- //� <br /> - �/� <br /> TO POSTING � '�'- � 5 � - �`'��� O <br /> �. <br /> �� — - -- ACKNOWLE�GEMENT OF CONDITIONS <br /> � �� � %� � �,� The undersigned ovinedapplicant hereby agrees lo hold and <br /> �� _ �_.,��t�;�,< -; �,� ;,�!���- save harmless Ihe Ciry ol Everett Irom any and all claims lor <br /> -- Y%�'�� damages,costs,expenses,or causes of action that may arise <br /> Appwv�d or nsimc�ion � Daio�' because of inslallation and main!enance ol the improvemeN or <br /> /i /�(� / othei right-o(-�vay use hereto applied for and furiher agrees to <br /> �� z—I C �� remove same upon notice Irom the Cily and{o replace public <br /> FINAL INSPECTI P prOpeAy damaged ihereby. ---_ - <br /> Appmved as CIUr Etmctetl �ate �_ �-�" <br /> �.I <br /> I_ _ SignaNreo�App�icanl � � Dale <br /> �.VJORK AUTHORIZED�Y THIS PEf�MIT MUST eE STARiED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEDAND THEREAfTER IS TO BE DILIGENTLV PURSUED <br /> TO COIdPLET10N.THIS PERRIIT IdAY BE CANCELLED�Y 7HE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br /> pATApAR.INC. <br /> �,IVP(]/06) <br />