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� ` P U B L IC WO R KS �a�e 05/02/2003 ( '�. <br /> PERMIT PublicWorksPermilM Po0305-002 ' <br /> ,. <br /> Building Pcrmit a `� <br /> ?i'PLIC WORKS DEPARTMENT Planning Reference a � <br /> 3200 Cedar Street . <br /> Everen,WA g8201 Public Works Fee S $25.00 <br /> (425)257•BB70 '::v <br /> GuaraNce$ � <br /> OWNERNAME APpLICANTNAME MELSON MIRE <br /> ANDADDRESS: 4SO3 CRESCENT' AVE ANDADDRESS: QStl3 L,�SCEMT �VE <br /> ��TT i111 99203 EVEkETT Q71 98203 F <br /> PHONE: QZS23�z8B� PNONE. 42SZ�ZLEB3 �' <br /> � <br /> TAX PARCEL I.D.M I � PROJECT ADDRESS: QSI)�j CR$$(.'EA'P �IJF', ;j� <br /> 't <br /> DESCRIPTIONOF CaV@ 04Z[ OL fi CC31 acea, R/R C1@J fUC twacdec �ti <br /> PROPOSED WORK: <br /> Mq� iin r�,��r.,�ac.,>`s fo �iL rr�^�t, /nc!'c,d;:�J �ha�c�Ci�,y sr � <br /> �nS�al�i� �4i1 .enao� �ie.1' on �zari� S.:1c Y��' �L b�Oi�r� 2 <br /> c�", <br /> flCto rc :.�� On LotV�:r q.•�'` oF La�. ` <br /> , <br /> I'ERMIT CONDITIONS � <br /> 1. All calls for inspection shall be made 24 hours in advance •phone(425)257•8810 AF <br /> 2. All work shail be peAormed in accordance with Ihis permit and current City of Everetl Design and Construction � <br /> Standards and Specifications. � <br /> 3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> 4. Railcuad tiea ahall be placed cloae enough toyethec �u that nuto� can not drive un W � <br /> trail (�axiaue of 5' separation) � <br /> 5. Keap etceets clean at all times. ^ � <br /> 6. Scope of r.�ork shown on attached drawing. y� � <br /> 7. Coce� FXPosec+� c.tcr�li eui¢�S ,��- ---s�.�-� Strnw z�o �revetif m � <br /> El^G��/0��, /�°seed c:'.xfJO.S�=G� C1r�'L !,�/�� 9r<LSS tcF�izr L�IOi'� � "� <br /> /.s Cain���r�c� 7 ;� <br /> Z '� <br /> � � <br /> � � <br /> 0 Sg <br /> a � <br /> � <br /> � <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS � <br /> i <br /> . � <br /> � C j The undersigned ownerlap��licant hereby agrees to hold and <br /> ' � savc harmless Uie Ciry ol Everett from any and all claims lor � <br /> Approve r .nsuuciion � D e damages,wsls,expenses,or causes of action that may arise •;� <br /> because ol inslallation and maintenance of the improvement or j <br /> 1 /�j /�j���� other righl-obway uso hereto applied tor and further agrces to 4 <br /> �C Z� remove same upon notice trom the City and to replace public { <br /> FINAL INSPECTION properry dam ,y <br /> Approved as ConsiruCtetl Dale r/�/a � <br /> V `� <br /> J <br /> SignalureolApplicam Da1e '. <br /> � <br /> � <br /> WORK AUTHORRED�Y THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENttY PURSUE� .� <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLE�BY THE CITY UPON ANY STOPPAGE OF WORK ON 7HIS PROJECT OVER 90 DAYS DURATION. � <br /> <'t4 <br /> a2 <br />