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Date / <br /> PUBLIC WORKS PublicWorksPermit# <br /> PERMIT Building Permit/! <br /> PUBLIC WORKS DEPARTMENT Pla�ning Relerence# <br /> 3200 Cedar Streel <br /> Everet6 WA 98201 Public Works Fee 5 <br /> (4251257iB&1P��n��t(tl�...��L' ��..;�..�(� .�Guarantec5 � " . . <br /> �) �lUI' <br /> OWNEF NAME APPLICAN7 NAME <br /> ANDADDRESS: - � � � ANDADORESS: <br /> . . ...-.. _. . . . _. ,l: v:_: <br /> �' <br /> PHONE: PHONE: <br /> TAX PARCEL I.D.# PRQIECTADDRESS: <br /> �ESCRIPTION OF <br /> PROPOSED WOPK: � <br /> PEFMIT CONDITIONS . ' : <br /> 1. P�II calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be pedormed in accordance wilh this permil and current City of Everett Design and Construction <br /> Sla�dards and Specifications. � <br /> 3. Call Location Undernround Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555 <br /> . _. . _ . _ <br /> � <br /> -_ '�A <br /> . in; . �, � .,: i«. ,rwec p�r Ci.tf >tar.-iacd .r', V+ <br /> r�-:i,._ .4.. . .. '. '. � '.. � . `�ro-•. M <br /> \�� <br /> - . . . . . . . . . . � . .. . ' . . " . . , .. ' O^ <br /> / <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> — ACKNOWLEDGEMENT OF CONDITIONS <br /> / i�� /J '/ / The undersigned owner/applicanl hereby agrees to hold and <br /> �� save harmloss the Ciry ol Evorett imm any and all claims lor <br /> Jl� c'�'�sa� � Z Z C>J <br /> n ov o Conswaion Deie � damages,costs,exoenses,or causes ol action Ihal may arise <br /> because ol installation and maintenance of the improvement or <br /> / /L _/��� other nght-of-way use hereto applied for and furlher agreos to <br /> ` L. removo samo upon notice irom tho Ciry and b replace public <br /> FINAL INSPE ION property damaged Ihefeby. <br /> Appwvedns on;lmc�etl Da�o �-� ��!.� � -zG . �� <br /> %' <br /> 9grnWmolApplicant Oale <br /> WORK AUTHORIZED BV THIS PERMIT MUST BE STAqTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEO AND THEREAFfER IS TO BE DILIGENTLY PURSUED �� � <br /> !O COMPLE710N.THIS PERMIT MAY�E CANCELLED BY THE CITV UPON ANY STOPPAG[OF WORK ON THIS PROJECT OVER 9D DAYS DURATION. <br /> ���,vr���� OATABAR,INC. <br />