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i <br /> PUBLIC WORKS Da1e 1�1°��°°3 ;' ' <br /> PERMIT PublicWorksPermitx p�0301-009 <br /> euilding Permit� B0211-026 <br /> PUBLIC WORKS DEPARTMENT Planning Relerence# <br /> 3200 Cedar Street <br /> Everett,WA?B2�POSTING AUG 13 2004 PublicWorksFeeS $1,796. 73 <br /> (425)25r-��� Guaramce 5 <br /> OWNEF NAME TANCE LEAGLiE OF EVE �'�CANT NAME <br /> ANDAD�RESS: P� $OX 1193 ADDRESS: <br /> EVERETT WA 98206 <br /> PHONE: 4�5.'?5 90 86 8 PHONE: <br /> TAXPARCELI.D.p 00581900002301 PROJECTA�DRE55: 5107 EVERGREEN W <br /> DESCRIPTIONOF NEW THRIFT SHOP/OFFICE — SITE IMPROVEMENTS <br /> PROPOSED WORK: <br /> SEPA 02-059 & REV II 02-008 <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be performed in accordance with ihis permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Localion Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4. As per approved plan dated 1-10-2003. � <br /> � <br /> W <br /> �_-��..1-��<� 'ir_ .. O <br /> �I (:30.Liii <br /> i]Ti.l"cR 1�".�" � <br /> ,.,".�iJ 555.=-' <br /> ,. _ 111"'..__ Z <br /> U�.-_ _?96. ,: - - :r1 <br /> _ . ._i '. _ y. <br /> �i ,,`1.—. �.., <br /> V/ <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONOITIONS <br /> ,���/'�i�/n I/�b�07 The undersigned ownedapplicant hereby agrees to hold and <br /> � � {..X1C� O save harmless the City of Everett from any and all claims for <br /> Appmved lor �onslru;�ion Date damages,wsts,expenses,or causes ot action that may arise <br /> � because of installation antl maintenance of Ihe improvement or <br /> � �� other right-obway use hereto applied for and fuAher agrees to <br /> �' � -/}�' U � remove same upon notice from the Ciry and to replace public <br /> FINAL INSPECTION roperty damag Ih re y. �� <br /> Approved as Constmcted Date <br /> .ignature� plicam Dale <br /> WORK AUTHORRED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br /> TO COIdPLETION.THIS PEAMIT MAY BE CANCELLED BY 1 HE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />