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�� <br />PUB�ic woRKs <br />' � PERMIT <br />PUBLIC WOFKS DEPARTME�T <br />3200 Cedar Street <br />e�-eren, wa sezoi <br />, TSbzs�b'�iING .—N01—'=°°'- <br />)WNEH NAME APPLICANT NAME <br />�NDADORESS:�jzOS HOLLY DR ANDADDRESS: <br />EVERETT WA 98204 <br />rHouE: i 425 ) 347-6516 <br />TA%PARCEI.I.D x - - <br />DESCRIP71nM OF <br />PPOPOSED WORK: <br />'� <br />PcRMIT CONDITIONS <br />PHONE: <br />Dato <br />Public Works Pormit A <br />Building Permit p <br />Planning Reference u <br />Public Works Fec S <br />Guarantec S <br />8�18/2000 <br />i• ', �, �, : �� <br />B0fJ08-041 <br />$ 45.00 <br />1. All calls for inspeclir•n shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with Ihis permit and currEnl City of Everett Design a�id Conytruction <br />Standards and Specilications. <br />3. Cal� Location Underground Se �ice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4.Install driveway urb cut per city standard no. �07 <br />5.Install Catchbasin for parking lot paving <br />6.Connect sidesewer to existing using city standard #601 and #604 <br />�����D <br />SE? 0 5 2000 <br />CIT �� ��i Se�E��E'L"r <br />-=; �—�i;i l.i : , - �- <br />GG+? r'. <br />JII_D 111.2:; <br />.i<CHu 4.5� <br />'i..?N Ct; 36. Sc <br />00080�c <br />`i�'�itn ?O.Gii <br />'.;' Ii_iTY :i.�01.0i <br />�� oc�ee;r <br />;:�IVc 45.P <br />�� CQ08��: <br />, .,,.. <br />_",�'�:_ _��`�:. <br />ACKNOWLEDGEMENT�'t3F" CONGITIONS <br />W <br />� <br />v/ <br />W <br />O <br />� <br />� <br />� <br />V/ <br />a <br />The undcrsigned ownedapplicanl hereby agrees b hold and <br />save harmless the Ciry of Everett Imm any and ali claims br <br />damages, cosis, erpenses, or causes ol action that m�y arise <br />beCause ol installation and maintenance ot Ihe impwvemenl ur <br />other right-ol•way usc hcreto applied for and lurther agrees to <br />remove same upon n�tice Ir the ity and r� repla:e public <br />property am d e by. <br />Signalure ol App itanl Dal�/C� D� <br />WORK AUTNORIZED BY 7HIS PER�AIT MUST BE S7ARTED WITHIN 180 DAYS OF DATE PEFiMIT IS ISSUED AND THERE..FTER IS TO BE DILIGENTLY PURSUED <br />TO C01dPLET10N. THIS PEFMIT MAY 8E CANCELLED 6Y THE CiTY UPON ANY S70PPAGE OF WOfiK ON THIS PROJECT OVER 90 OA'/S OURATION. <br />