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PHONE: <br />PUBLIC WORI(S <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreel <br />E(425�257-881�'p POSTING �UN 1 a <br />PU BOX 2.568 <br />F.Vttiitb:J'�I' <br />( 4.35 j;s47-314!3 <br />TA%PARCELI.D.a U11.1'f:t 1���� <br />PHONE: <br />DESCRIPTIONOF !�h'Pl!iliP.''„ bOI; V�n'Al'��!rIAI .,:;iU�)I., <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Date 1/7j:;U0:: <br />PublicWorksPermilN �W����1—U01 <br />Buildint� Permit N <br />P�lanning Relerence k <br />2�P`ubtic Works Fce 5 <br />Guarantce S <br />t.0 �o i-oo5 <br />- �. � i �ul,;-.'; .4V1'- <br />b;'✓ERETT WA 98: U1 <br />. , �,.-;�I'�3 <br />0.16 EVERGREEN FlAY <br />1. All calls for inspec�ion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pednrmed in accordance wilh Ihis permil and current Ciry of Everett Design and Construction <br />Slandards and Speci(ications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FHEE NUMBER 1-800-424-5555 <br />4. i��.�.:: ,.. _ � � K�=I: :;-11-0�' <br />i� <br />�lor Conslruc�io Dale <br />(�1=--W �' � ''-- <br />FINAL INSPECT�ON <br />Approvetl as Constructetl Date <br />ta9::5.3"1. <br />03-12-02 3:41FM <br />H 0201005 <br />BUILD 113P.00 <br />N 0201001 <br />OTHER 47.6D— �� <br />PW/RUW ^c9�.55 <br />BOMD 585.17 <br />I; 176241 <br />OTHER 15300.00 <br />TOTAL 17355.32 <br />CHE <br />A OM7054 <br />Z <br />1735� <br />� <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrecs to hold and <br />savo harmlcss lhe City ot Everett from any and all claims for <br />damages, costs, ezpenses, or causes of action Ihat may arise <br />because ul installation and maintenance of the Improvemenl or <br />other 'g -ol-way u reto applied lor and further agrees to <br />rem ve .me up no ce Ir the City and lo replace public <br />pro damaged 1 reby. <br />""L-'��''-1_Lt—�� <br />Ap lic n Date <br />� <br />WOFiK AUTHORI2ED BV T111S PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCc'LLED BY THE CIN UPON ANY STOPPAGE OF WORN ON THIS PFOJECT OVER 90 DAYS DURATION. <br />