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���6.��V :MV��� <br />����9� <br />� PU6LIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everoit, VJA 98201 <br />�°25� �Q'�OSTINCtlAN 0 5 2005 <br />ONfNER NANE gLUE CIiIY PAA.TNE:R.`S <br />ANJAD�RESS'�.�5 3F,D A��E N2409 <br />NEW YOi�FC NY 10U17 <br />PHONE� 21..'tiCJ10�iU�� <br />TnxNar�ceuo.n �805070U307UOii <br />DESCRIPTIONOF �W p�•FICE fl RETF.IL P�LDG <br />PROPOSED WORK: <br />PERMIT CON�ITIONS <br />�ate ,.:� ;��no9 <br />Public Works Pcrmit a py�0907-02 3 <br />BuildingPermitd B���107-��}�� <br />Planning Re(erence k <br />Public Works Fee S 5583.7U <br />Guarantce S <br />BUkGESS WEhVER DESIGN GRP <br />PhiONE: ?(Ib�R]�i?(1 <br />PffOJECTADDRESS�.�-E��EFiGkEEN 4TAY ND <br />g'(7� <br />,EE ATI7�r_AED <br />?. AI! calls for inspeclion shall be made 24 hours in advance - phone l425) 257-8870 <br />2. All work shall be periormed in accordance with this permit and current City of Everett Design and Cn�slruclion <br />Standards and Specitications. <br />3. Call Localion Underground Service 48 hrs. helore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />?. :,:, pr_c a�;pco�:ed nlan d.�bcd 1---1-ii5. <br />lor <br />�'Z � �� <br />Dale <br />i <br />' � . <br />(� L: f k; �� il- � ���� <br />FIIJAL INSPECTIO � <br />qppmved as Com�irc,cle�J Dnte <br />�..'.::'.._(.J'��....l.l::"� .... „i.'J:t)I"�{"� <br />f''.' ��l.�.S,l�f��.lC�.r[�. <br />�'�I._(i��� (..�'� �::lrF��P .� i:i,.1. <br />I::�l.),I.I...L.I f.>�i��i�; :'. �.:l.�.i <br />.`:i���(:;I�•Ifii G• .,:`:iii <br />;i. i;r:�•c:?�i'(i:A.:l. <br />�:��::��u:::re •-ro.,�:�c:, <br />t.ri :r.i...:r.�r�r ;jc;r:���,. a::; <br />. :i.F:3;°;r:;;�;:::� <br />;; <br />(:i il G::f� :xc�>�;�c)O„�>c; <br />Q{: O�rCYi'�::�::'t�. <br />;"' <br />h/7� .— Cl'1"1•!!:i:l�i .,(i.,ii(' <br />,C�J � �•��Tl_liii7�i �•'�-'.'S „CiG <br />1=•1�.1!I il�t.� 1.c:5�? '='i:� <br />1='Wi :I:I�ISiil � ::':`.i.� i:3C: <br />,..,• . <br />'_II._I:)'T�r1L.. �ii3:l.ii;::`i��:.i.�:. <br />ACKNOW��J��Efy�EI�T OF CONDITIONS : <br />� <br />� <br />f�� <br />V� <br />� <br />0u� <br />d <br />:.::�'i:1:3 <br />� . .. , .. <br />The undersigned ownedapplicant hereb��agr�����o hbltr3hc� <br />s�ve harrnless the Ciry of Everett irom any and all claims lor <br />damayes, costs. ezpenses, or causes of action Uiat may arise <br />because of inshllation and maiNenance of the imnrovement or <br />olher right-a �way�use hereto applied tor and tunher agrees lo <br />remove san � upon nmice from the City and to replace public <br />proporY� dama thereby <br />/1. / <br />:.,�u>�//' �v�_ �/�/� �� <br />—f�— <br />SignaWreolApplicant Date <br />l9GRK AUTHOHILGD t3Y IHIS PLR^.tIT tdUST 6[ STARTED WITHIN 180 DAYS OF �ATE FERMIT IS ISSUED AND THEREAPTER IS TO BE DILIGGNTLY PURSU[D <br />TO CO!APLfTlO� I 7Hig p[Rt.11T t.1nV Ed[ CnNCFLLEU oY THB CITY UPON A�V STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />