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PUBLIC WORKS Date 10/1/2004 '/ <br /> PublicWorksPertnitu :aonio-ona <br /> PE R M 1 T Building Permit N <br /> PUBLIC WORKS DEPARTMENT Planninc�Reference q <br /> 3200 Cedar Sireet <br /> Everen,WA 98201 Public Works Fee 5 � $0.00 <br /> (425)257-BG10 Guarantce 5 � <br /> Gharfed on '�'rr.v/Octs�/'�''� <br /> OWNERNAfdE NGUYEN IVY APPLICANTNAME S]�.� <br /> ANDADORESS: ANDADDRESS: <br /> 8208 FLORZDP. Dk <br /> EyEgg'I7` WA 98203 <br /> aHCNe: 206583872F, PHON[. <br /> TAXPARCELI.D.a 003939�J0501000 PROJECTADDRESS: B?OB FL��IDA DY. <br /> DESCRIPTIONOF INSTALL DRIVEfiAY/PARKING ON HOP.TA END OF PkOPERTY <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance• phone (425)257-8810 <br /> 2. All work shall be perlormed in accordance with this permit and current Cily of Everett Design and Construction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FqEE NUMBER 1-800-424-5555 � <br /> 4. Lucated a� shovn on the attaahed dcaving. �. <br /> � <br /> N <br /> m <br /> O <br /> � <br /> � � � O Z <br /> � C� 13 tip04 �� Q <br /> C���`�iidSvC'"es V+ <br /> �. <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> ___<� � /D // D¢ save harmless the Ciry of Everetl from any and all claims 1or <br /> Appmve or Constmcoon Da�e damages,COsls,e"penses,Of CaUses of aclion tha�may ari5e <br /> because of installation and maintenance of Ihe improvement or <br /> ' ,� �Z'L� other riyhhobway use hereto applied for and fuAher agrees to <br /> � remove same upon notice Irom ihe Ciry and to replace public <br /> FINAL N ECTION property damaged Ihereby. <br /> Appmvetl as Consimcletl Date /i'1 d y <br /> (/ <br /> Signalu/olA plic.� � `/ aIe -- <br /> �/� <br /> wORK AUTHORIZED oV THIS PERMIT MUST BE STAR7ED WITNIN 780 7AY5 OF DATE PERMI7 IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUE <br /> TO COtdPLETION.THIS PLRId1T h1AY�E CAIJCELL[D�Y THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJLCT OVER 90 DAYS DURATION. <br />