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Pus�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 93201 <br />(425) 257-8810 <br />ANDAODR�55: CjT'Y nF �l'F.T<E7'" <br />_:�OG raD.D.F; ST <br />z,��P�TT [d? <br />PHONE: [IiC •'.�i7F�jllll <br />TAX PARCEL I.D.M <br />?BZO1 <br />Date <br />qii2�zoos <br />PubliC Works Permi� p �4TC1 ^� r'' � 1:: <br />Building Permit 8 <br />Planning Relerence /f <br />Public Works Fee $ <br />Guarantee $ <br />ANOFDDRE55: F.YPL.IEI� F'T2��F S�'J7[�.�� .���� <br />q?53p �'E lk:,S,.':3 BE17D aY <br />NOF:7A L'END W:� � ('•pq5 <br />PhONE: 4° •P,$bL50i1 <br />PFiQ1ECTADDRESS: <br />DESCRIPTION OF <br />PROPOSEDWORK: I�-�LD Ln"r.TIciNS C�r SEti'_'}: 5 4�ATEF. l442N IN RUU <br />r:DET_41: h47�: c�TU e:H "'�'•F;D ST' .s �P�7nFL. 90i; £L�)C}' Ci:�S�_:£5 5. ?3T'L :•.. <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance wilh this per.nit and current City of Everett Design and Construclion <br />Standards and Specifications. <br />3. Call Location Underground Service d8 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />�)ii,i)i: <br />r. ,:]CY.:.il •.�ii i�`/'� r:l[:'..., "_"�i:�-� L��l'i: .�Pii31� ��3L�:ii j'':1C (�•}_�• :.f gy<<r-r�_ 3?dnd�[dT, <br />.5, ��avi c�� <br />�� ��x <br />/ i''G `/ i G C uN'��"U C <br />C.,�y �:,/(,C GvC-•-�> <br />fz�- f<.� MU ; �.i� <br />�/ �$�c?l'lc,r, <br />�j <, / , <br />��")• li ; t.c i iYJ•I a,�C<.,_— _� i/4 �iI . <br />. Approved br Construction Oate ' <br />� /z o <br />FINAL INSP T N " <br />Approvea as nslmc�ed Dato <br /><. r, �f c. S c�i �rzc �cJ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save hartnless the City ol EvErett Irom any and all claims for <br />damages, costs, ezp9nsas, or causes of action ihat may arise <br />because ol installation and maintenance of the improvement or <br />other rightof-way use hereto applied for and turthar agrees to <br />remove same upon notice from the City and to replace public <br />pta�rry damaged thereby. <br />/ <br />l.'1L�l:��.�4ti:j�___—__�i—��__�.�" ____. <br />Signalurea�Appliceht Dale <br />WOfiK AU7HORIZED BY THIS PERMIT MUSi BE S7ARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AN� THEREAFTER IS TO BE DILIGENTLV PUPSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCEL�ED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAYS DUMTION. <br />EPWP (��) OATABM. INC. <br />`W <br />r <br />'�A <br />V/ <br />O <br />� <br />Z <br />O <br />H <br />� <br />O <br />a <br />