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PUBLIC WORKS Date ?/17l2009 / <br /> PERMIT P°b��°W°�SPe�m��� PW0909-019 <br /> Eo4oQ-o�z <br /> Building Permit q <br /> PUBLIC WORKS DEPARTMENT Ple•��ing Relerence p <br /> 3200 Cetlar Streel <br /> Everett,WA 98207 Public Works Fee$ 532� 180.85 <br /> (425)257-BB10 <br /> Guarantee8 /_7�2 3UL <br /> lP <br /> �NonooAEss: WAL MAR'f FBAL EST7+TE BU;IYESS pNOLADDfESS'�E II;k INTEFcNATIONAL <br /> 702 SW 8TH S: STU�=:T NI?1NDEk <br /> BENTONVILLE AT; 72716 <br /> PHONE: 97Q`�q�I�l PHONE: u1B?��9Q17 <br /> 7AXPARCELI.D.a PROJECTADDRESS: <br /> 009925009u1600 1140i1 EVF.F,GP.FEN WAY <br /> DESCPIPTIO�OF NEW $T(.�RE <br /> PFOPOSED WORK: <br /> PERMIT CONDITIONS :iEE ATTACHED <br /> 1. All calls{or inspection shall be made 24 hours��adv�nce-phone (425) 257-8810 <br /> 2. All work shall be pe�formed in accordance with this permit and current(:ity of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> 4. As per the appcnved plan, dated 5-9-05 and the inspertoc'� dirertion in the field. ` <br /> 5. This p?rmit does nnt incluile appr�val and or inspec�ion foc WatFr an:l Sewr D?sign. = <br /> Mukilteo Water Disteict is C�F1�iOilE1JI@ for L�oth watec arni S�c,ree d-:sign, appeav�l <br /> m� �f+i <br /> inapection. � ��:� M <br /> �~ ~ � W <br /> -, . <br /> C7 r r-�-_-s=K --. <br /> � �� �� O <br /> m n c� c <br /> %•• `-' � <br /> � <br /> ff} '"' �'� <br /> L• f'1 <br /> ��� �.� z <br /> r,� , <br /> , �, � <br /> � <br /> F-� � <br /> �i L�r.""5 r u3 --� � <br /> r,a�o o'-- � <br /> �-- ra r�Co � <br /> co' .r_��a r <br /> o� :n _�i--� <br /> m �c n,j r.� �•+ O <br /> "L7oovi • <br /> c��c`y r. <br /> ����' a <br /> I--' �J <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ( ' 1/��� �� ( �)N, The undersigned owner/applicant hereby agrees to hold and <br /> �� LW save harmless the Ciry ol Everett Irom any and all�laims for <br /> App�oved br Cnnslruc�io Da�e damages,costs,erpenses,or causes of action that may arise <br /> be�ause of installation and maintenance of the improvement or <br /> y�� /�. // other right-oi-way use hereto applied for and further agraes to <br /> �_ .r.��i'�^�'>..-.-- remove same unon notice from the City and to replace public <br /> AL INSPECTION-� `• . 1-}{ C_ proporry tlamaged thereby. <br /> Appmvetl as Conslmcted Date � <br /> � 5—/7'as <br /> SignaWre of Applicam Date <br /> WORK AUTH(1RIZED BY THIS PERMIT MUST BE S7AFiTED WITHIN 1B0 D'•YS OF DATE PERMIT IS ISSU'eD AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY TNE CITY UPON A�Y STOPPAG[OF WORK ON THIS PqOJECT OVER 90 DAVS OURATION. <br />