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PlJBLIC WORKS Date 1<<7/�005 � <br /> PERMITPublicWortsPertnitN ppi�50�_03, <br /> Building Permit k <br /> PUBLIC WORKS DEPARTMENT <br /> 3200 Cedar Sheet Planning Relerence M <br /> Everelt.Wq g8201 <br /> (425)257-8810 Public Works Fee S <br /> 595.00 <br /> Guaranteo g <br /> OWNE(i NAME pI��T]Ut0 JOSE�H <br /> ANDADDRESS: APPLICANTNAME <br /> 10633 EVE,7{��gN �y ANUAODPESS: <br /> ��TT WA 98209 <br /> PHONE: 4253483141 PHONE: <br /> TAXPARCELI.D.N 28042900203200 PROJECTAD�RESS: <br /> OESCRIP710NOF 10633 EVF,FqtEgp QAy <br /> PAC]POSED WOP!C� Qlden exiating deievsy at Evergcee�S lOBth St Sp <br /> Femove 7 panels un the south aide/u�e 5.5 tcansition <br /> standards � pec nev <br /> PERMIT CONDITIONS <br /> 1. All calls(or inspection shall be made 24 hours in advance-phone (425) 257•8810 <br /> 2. All work shall be performed in accordance with this permit and current City ot Everell Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOIL FREE NUMBER 1•800-qpq.5555 <br /> 4• Ptovide any necesaacy tcaffic _ontrol aa dicected by the Pu61ic tiork7 inapectur � <br /> (425-?39-�4u4) � <br /> '�A <br /> VJ <br /> rJ;:'....1.:1....(Y.:7 1.^ "C)CiI��Y'I O <br /> � U'c�C>1.i>:.3,':� <br /> I il�i:I:Vi::: ti•;;; „tX? ' <br /> ._��.-C1•T•��i�... �i•.� ..(i(% <br /> R.(iO _ . : = - - il = : c�NiB <br /> r•1 Uh{:1.'!O'i> V <br /> � <br /> � <br /> � ' <br /> a <br /> ; • ACKNOWLEDGEMENT OF CONDITIONS <br /> � l`�j�'),�y � 7 o S The untlersignetl ownedapplicant hereby agrees to hold and <br /> Approved inr Conslmciinn save harmless the Ci ol Everetl irom any and all claims for <br /> ''�� damages,costs,exp nses,or causes ol action that may arise <br /> because ol installalion and mainlenance of the improvement or <br /> �� ��_,���' other righPol-way use hereb applied for and further agrees to <br /> ��/'.L INSYt(,T�ON remove same upon notice Irom the City antl Io repiace public � <br /> Annro�ce as consi�uned p��� P�operty�amaged-t� reby. <br /> i- 7-3 --�G ��� <br /> ��9�tMure M Dale <br /> v <br /> WORK AUTHORIZED BV THIS PERMI7 MUS7 6E STAq7ED WITHIN 1BJ DAYS OF UATE PERtd1T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.7HIS P[R�dIT R1AV BE CANCELLED BY iHE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. <br /> I <br />