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PUB�ic wo�Ks <br />PERMIT <br />PUBLIC WONKS DLPARTh1ENT <br />3200 Cedar Slreei <br />Everetl, WA 98201 <br />1425) 257-8870 <br />1�TI: ST'n£,ET FARTN�'h5 L�r <br />AtJDAD�R6:����LTEO WA BBi7S ANDA�I <br />��s_ aeoei» <br />PHONE: PHONE. <br />?.?0$17U021;1011 <br />TA% PARCEL LD. '.l ll� !' Di.qyOVAN HCY� PROJEC <br />DESCRIF'710N OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />i0; 1�1;20u5 / <br />Da�e <br />PGI0510-029 <br />Publicworks Permit #C0509-023 <br />Building Permit 7! <br />Planning Reterence z <br />:25.OG <br />Public Works Fee 5 <br />Guarantee 5 <br />IT NAh1E <br />aESS: <br />�� ���T���MAR 16 2008 <br />1:_ 1 i G< }fOt%. <br />ADDRE55: <br />li:fi!`\%?�11 i.rtT{E FRG, Li=T ' <br />1. All calls lor inspection shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall br, per(ormed in accordance with ihis permit and current City of Everett Design and Construction <br />Slandards and Specilications. <br />3. Call Location Undergwund Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800•424-5555 <br />:_-�:E"; :�. : .. ���,,_,,:1 _ -, ...... ..,,.-_-_ .,::; <br />�._.�(-l�l_ 3 ��-o� <br />FINAL I PECTION <br />Appmvea as Conslrucled Oale <br />� <br />,,, <br />. �'.., �r. �-.. � � <br />�:i +j a�a en � a <br />41� tpKJ J�'J (i1{WtN <br />�;p f t1 CJ J. cJ � TI C'J .L� fv.^ <br />ti 1 <br />�'"�L�r`��-iGi.��>V�LT� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />= <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />Y / <br />O <br />a <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless the City ol Evereu irom any and all claims lor <br />damages, cosls, expenses, or causes of action Ihat may arise <br />because of installation and maintenance of the improvemem or <br />- ht-ol-way use ereto applied lor and lurther a9rees to <br />remov san on no ice Irom ihe City and to replace public <br />propert damage he by. 1,Iz1I� <br />. <br />Signa�ure el � Date <br />'::JHK AUTHGRIZED BV THIS P[RIdIT A1UST BE START[D VJI7HIN tB0 DAYS OF DA7E PERh11T IS ISSUED AND 1HEREAF7ER IS TO BE DILIGENTLV PURSUGD <br />I�.i C01,1p1 [iION THIS PC-R1.!IT 1.1AY Pf CANCF.I.LED AV 7HG CI7 V UFON ANV STOPPnGE GF WORK ON THIS PROJECi OV'eR �0 DAVS DURATION <br />