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PUBLIC W�RKS D818 8,26�2°°2 � <br /> Public Works Pertnit M pW0208-038 <br /> PE R M 1 T Building Permit N <br /> PUBLIC WORKS DEPARTMENT Planning Reference M <br /> 320o Cedar Street $28. 00 <br /> Everett,WA 98207 Public Works Fee$ <br /> (azs)25�•T� „ , „,_:,�; DEC 2 0 20� c,uarantee 3 <br /> OWNER NAME APPLICANT NAME <br /> ANDADDRESS: $llf3 FIOY'�f�d DT�VA ANDADDRESS: <br /> EVERETT Wa 98203 <br /> PHONE: 42S I�.004BG PHONE: <br /> TA%PARCEL I.D.N PROJECT ADDRESS: �r r � <br /> DESCRIPTION OF T1 OY' 8 <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. Atl calls far inspection shall be made 24 hours in advance- phone (425)257-8810 <br /> 2. All work shall be �er(ormed in accordance wilh this permit and currenl City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Cali Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> 4. Keep city streets clean at all tiies durinq construction. W <br /> 5. Provide erosion control as diracted by the city public Morks F., <br /> inspector. A <br /> vI <br /> m <br /> � <br /> � <br /> Z <br /> � <br /> +i8-^5-+J� 4CS�Ph! � <br /> H O�OBG36 ,A <br /> i]THcR Z5.00 O <br /> T07AL �5.00 <br /> L�4Si-1 =�0 <br /> 4 Ct?94C5 <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> G � � The undersigned ownerlapplicant hereby agrees to hold and <br /> save harmless ttie Ciry oi Everett irom any arW all daims for <br /> noP�o�ed ior constmcti� n o e damages,wsts,expenses,or causes of ection that may arise <br /> because of installatlon and maintenar�ce of the improvement or <br /> � other right�of•way use hereto applied foi and fuMer agrees to <br /> ti� l 7 '"OZ remme same upon notice hom the City and to replace public <br /> �LINSP�CTI propertydamagetlthereby. <br /> AppioveE as Constructe0 Oate �'�` �,Q i/ 0��, �� <br /> ( if/ O <br /> SignaNre ol Applaa Daie <br /> WORK AU7HORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PEFiM1T IS ISSUED AND THEREAFfER IS TO BE DIIIGENiLY PUP�UED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 D�IYS DURATION. <br />