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. . � <br /> PUB�ic woRKs �e� ��4��0 <br /> PERMITPuWicWorksPertn%k Pw��� <br /> auaing rerm;t u <br /> PUBL�C WORK3 OEPAqTMENT Planning Reference• <br /> 3200 Ceder SVeet <br /> Everett,WA 98201 Public Works Fee S 'Z5�t7 <br /> (425)257-88f 0 <br /> Guerantee S ��� <br /> OWNERNAME ,�NiTA LEE �P��NiNAME 4 <br /> ANDADDRESS: ANDADppESS: �O1\W K�NI/ <br /> �t�(c�.2r9 EVERfa�N WA�( �l� <br /> PHONE: �Y � ��✓A 98z.o4 �.�`�R�.N �����g <br /> PHONE: �A �S1-(�- <br /> 4�5-344- <br /> TAX PARI;EL I.D.N PROJECiADDRESS: <br /> DESCRIPTON OF C ��432- - EV�RE�t.1 N1A <br /> PROPOSED WOFK: �c AN U P =�TU M PS G1� <br /> 7' ���5 <br /> PERMIT CONDITIONS <br /> 1. All calls for inspectlon shall be made 24 hours in advance-phone(425)257-8810 I <br /> 2. All work shall be perfortned in accordance with this pertnit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig TOLL FREE NUMBER 1-800-4p4-5555 <br /> 4� M a.� N ra� ►� AT lrE,t 5T A I 00 Fc�UT .5 ETgi°rGK. FRD n�. W <br /> D(L�ti ►J�GE F�r,otTu2.E .4T �RpNT oF �o ~ <br /> T To cLE�►.J vP � <br /> itG'rl V I'T�(� m <br /> S, iNsra�.� AN�� REau�REu ��os�oN co�-rrz.o� ,a.s o��zEc,-r� � <br /> 7 <br /> �Y Tf+� PuC3LIG WORF'.5 ►N5Pg,�, Z <br /> 05-04-UO 9:47AM O <br /> � 0005008 <br /> Dh�ER 25.0p �• <br /> TOiAL 25.� � <br /> CASH �lipp <br /> A 0`17235 V <br /> a <br /> / ACKNObYLEDGcMENT OF CONDITIONS <br /> ----41�./n• . V .� .0 /.,/,q,� The undersigned oenier/applicant hereby agrees to hdd and <br /> �J�dd��`� �J /Lh K./ seve hermleas Ihe C�ty of Everett from eny and all claims for <br /> nppmved ior C onswaan oa� demages,cosfs,ezpenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement or <br /> ,�. �(, ���� Q _2(�LN other dghtof-way use hereto applied 1or and further agrees to <br /> FINAL INSPECTION a� re same upon noBce(rom pre Ciry and ro replace public <br /> Approvetl as Constnrcted Date P meged�h reb y� <br /> ^ V� <br /> � �re��' Dale <br /> WORK AUTHORIZED BY THIS PtRMIT MUST BE STARiED WITHIN 180 DAYS OF DATE PE R IS ISSUED AND THEREAFiER IS TO BE DILIGEMLV PURSUED <br /> TO COMP�ETION.THIS PERMIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE F WORK ON THIS PipJECT OVER 9p DAYS DUf1ATION. <br />