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�U�L.IC 11VORKS <br />PERMIT <br />�UBLIC WORKS DEPARTMENT <br />3200 Cedar Strcet <br />Evcrel!, WA 98201 <br />�Qzs� �081POSTING <br />DE� 0 4 2003 <br />OYlNERNAh1E E�OUC cornets �VBL'0LL !C@L331 APPLIGIININAMt <br />ANDADDPL55: ANDA�ORESS: <br />����1� �'��� <br />PHONE: �/ �1 " ' �1�� PHONC-: <br />�ty N� ►oo n <br />7AX PARCELI.D.w PROJECTADDRESS: <br />DESCRIP7ION OF <br />PROPOSED WURK: <br />PERPAIT CONDITIONS <br />Dalo <br />Public Works Parmil N <br />Building Permit p <br />Planning Relerence p <br />Public Works Feo 5 <br />Guarantec 5 <br />0/23/2003 <br />PW030o-023 <br />• yiy <br />132li Fifth Ave, 5uite 5U0 <br />SEATTLE WA 4B101 <br />�obse7712n <br />ceen <br />1. All calls tor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All wcrk shall be perlormed in accordance with this permit and currenl City of Everelt Design and Conslruction <br />Standards and Specificalions. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FHEE NUMBER 1-800-424-5555 <br />4. A� ��ec appcoved plan dated 6/2D/03. <br />- 6•�� <br />:_: _: -BS <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />� <br />� <br />� <br />a <br />Tha undersigned owner/applicant hereby agrees to holtl and <br />savo harmless the City of Everett Irom any and all claims lor <br />damages. costs, expenses, or causes of action Ihat may arise <br />because of installation and maintenance ol the improvement or <br />olher ri�ht-ol-way use hereto applied for and Wrthor agrecs to <br />remove same up n n tice Irom ih ity and to replacn public <br />�prope yslamage ereby. <br />��, G� _ � /5��3 <br />Sip��;ew of Applicanl Date <br />WORK �UTHORIZE� BY THIS PERMIT MUST BE STARTED WITHIN 180 �AYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO �E DILIGENTLY PURSUED <br />TO COMFLETION. THIS PEPMIT MAY BE CANCELLEO BY THE CIN UPON ANY STCPPAGE OF WORK ON TI IIS PROJECT GVER 90 DAYS DURATION. <br />