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PUBLIC WOR�C Date !i/Zo;2U0!; <br /> F{� �„ ��'I(.�i!,'tl)) �i���i'j PublicWorksPermit# PaOo!�n-031 <br /> P�E1�11T r f <br /> �'�tCr]. ���(�7'i <br /> LT Building Permit N <br /> PUBLIC WORri,F,���P��RAE7�F1L��-�� Ptanning Relerence# <br /> 3200 Cedar Sireet <br /> Everett,WA 982QRhF;1� �y jf�.jhj,(h;i Public Works Fee S �?, 14 i.>i " <br /> (425)257-8814 p;� .. <br /> � f'-'��� GuaraNee� <br /> 1 �;�9IM;; :,,r�,i': <br /> OWNERNAM6 1 �c r�.+��lig}":� . . u r. J APPLICAt7Y.NAME''_ <br /> ANU ACDRES9:��I�� r""-' � I'j�� j �``.� �,j �ND ADDPES3,? ;;' <br /> b<G N EP,f�.}T� bLVU. r."Th .� , <br /> '� �; ���„ �3 t �r1. <br /> GL�hL:AiE �'F• i;'t11{t; y �`_ .l�i.'_. <br /> PHONE: $1�='�q91y'j PHONE: <br /> j � <br /> TAX PARCEL I.D.# PROJECT A��RESS; , `.,� J`r,_,`t�?' Cjp y <br /> DESGRIPTIONOF j��t F_x'STl'F.hR: '� �Q�tt.�% � �' � <br /> PROPOSE�WORK: / � ro PosriNG. � �} I�n <br /> •.��.r..Y.l.t.�Z�WI' �, <br /> PERMIT CONDITIONS <br /> 1. All ca!Is (or inspection shall be made 24 hours in advance - phqr.e (425) 257-6870 <br /> 2. All work shall b�pertormed in accordance with this permit 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 1-800-424-5555 <br /> W <br /> 5. i'E<:: h:lf'S":''JEL� "rL�.;�: � <br /> � <br /> T; �)�=; /A <br /> . �., V� <br /> �-- � r�i <br /> � � <br /> :�r-�� _ <br /> m o <br /> _ Y L1 <br /> W � <br /> ::3 Cr c:`�. <br /> ;:;� r� ��, � <br /> � � � , <br /> �'� �,' 0 <br /> ���� �' ~ <br /> _�, �a <br /> =��'�a - � <br /> ,-��.. ��_` 0 <br /> �__ �_ �; a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ewner/applica�t hereby agrees to hold and <br /> I� _�i_ � save harmless the Ciry of Everelt irom any and all claims tor <br /> nppm�ed ior onsVuciion oate damages.costs,expenses,or causes of action that may arise <br /> because of installation and main�enance ol lhe�mprovement or <br /> � ' other rignt-of-way use hereto applied lor and lurther agrees to <br /> ���'�_����`�.-�T.�y,___ remove same upon notice irom the Ciry and ro replace public <br /> ��NSPECTION property d aged thereby. <br /> Appmved as Canstmaed Oate ��i � �IL� Q� <br /> � -o. ' ��---�-- <br /> 3` `�� Sigi aWre of Appticant Dale <br /> VJO�K AUTHOF17.EU BY THIS PERMI7 MUST DE STANTED WITHIN 180 DAVS OF DATE PERId1T IS ISSUED AND THEREAF7ER IS TO BE DILIGENTLY PURSUED <br /> (O COMPLETION.THIS PLFMIT P.1AV 8E CANCELLEO BV THF.CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />