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PUBLIC 1A/ORKS Date o;'Q;?004 � <br /> PERMIT PublicWorksPertnitM Yp04ob-oll <br /> Building Permit N <br /> PUBLIC WORKS DEPARTMENT Planning Reterence M <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee S <br /> (425)257•8810 9 2004 S�o.o u <br /> � POStING ��N��- Guarantee$ � <br /> A�NDADDR S5: A�I}� 41d1IC0C-H.71E ANDLADDRESSME <br /> 65�7 Gatevay Tec�ace <br /> EVEFtETT tA 98203 <br /> PHONE: Q?SZE7O464 PHONE: <br /> TAXPARCELI.D.N PROJECTADDRESS: <br /> . � <br /> DESCRIP710N OF <br /> PROPOSED WORK: Z71�La11 CULV@CC and Fill in Ditch <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425)257•8810 <br /> 2. All work sha�l be performed in accordance with this permit and current City of Everelt Design and Construction <br /> Standards and Specifications. <br /> 3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-024-5555 <br /> � W <br /> 4. Call public wo�ka inepectoc at 425-339-740? for a p�eeonatcuction roeetina p�wr to � <br /> beginninq wrk. ��/� <br /> 5. Heep city stcPets clean at all times during construction. V/ <br /> 6. All wocF: shall confoem to city standacds and npecifications. � <br /> O <br /> OS-09-04 ll:lOAH � <br /> N 406011 <br /> 0?Hfk ?0.00 Z <br /> TDTAL 20.00 <br /> CHE i-: � .Ot? <br /> A Off32b7 � <br /> V/ <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CO�DITIONS <br /> Ths undersigned owncr/applicant hereby agrees to hold and <br /> � save harmless the Ciry ol Everett Irom any anA all claims for <br /> npprovetl I onsvuction Daie damages,cosls,expensas,or causes of aclion that may arise <br /> . � because ol installation and mainlenance of the improvement or <br /> ' J�- �. ��1 I other right�obway use hereto applied lor and tuMer agreas to <br /> ' -� V' remove same upon notice irom the City and to replace public <br /> FINAL INSPECTION property damaged thereby. <br /> Approvetl as Constmcled Oate ._, � <br /> - ; � i � � � �, r � k�r ��l� C � �I -C z-I <br /> - � Siynamre d Applkar�t Oa1e <br /> l <br /> \ <br /> WOFK AUTHOfiIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF OATE PERMIT IS ISSUED AND THEREAFiER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT h1AY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATION. <br />