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PUBLIC WORKS Date . . _ <br /> Public Works PermitM��� <br /> PERMIT Ouilding Permit p <br /> PUBLIC WORKS DEPARTMENT Planning Reference� <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee S <br /> (425)257-8810 ' � ' - <br /> Guarantee S <br /> rOWNER NAME APPLICANT NAME <br /> I ANDADDRESS.'.. .� _. . _ ANDADDRESS'� ' _i';t.cl . -.r., . r^�nr�i 3:..TH <br /> ,i )',4TH AV£ 1,Ti , <br /> .. . ,C�;D iIA �i'ii5' <br /> I PHONE: PHONE: I^���,�. "�_CWS� <br /> TAXPAFCELI.D.# _ PRQIECTADDRESS: <br /> �oA40nlOn +nn?. EUEi'r1T i,:^ <br /> DESCRIPTION OF _ . . <br /> PROPOSED WORK:' '� RORI17C;5 IN 47J270US LCrA'IT��`:5 T': 'rFir: �-�IG;iT nF t�A� <br /> :�.:i:`-r: GRAND 'NVE AtID EVEItETT AVE OF IIAT+RISON: ::412 GRAtiD P.:+E � <br /> (rTt'��. i'I -�. — �•t-.pi�il T�TG' !�.•�i..�`j :.��•. — •r� F ha}.}�_TirC .rli�G� ^ _. .. <br /> PERMIT CONDITIO�S <br /> 1. All calls for inspection shall be iade 24 hours in advance. <br /> 2. All work shall be perforrred ir accordance with this permit and current City ol Evercu Design and Construction <br /> Slandards and Specilications. � <br /> 3. Call Location Underground Service 48 hrs. belore you dig.TOLL FREE NUMOER 1-800-424-5555 <br /> � � rati ..' � ! �,.,� I c . ' t ::t.am? �_ . , 'i. '. �; � <br /> .: � . . ..,t . th•- ,. C.� _, �� _Le.t "rt�1,11. ,. L� � i:�c}� t7i. N <br /> . REStOI"r, C1C117 acea larationa LO OC1Ullldl rplyc�lClOf1 �_�� �`� � ' �. �. . /� <br /> . �-o•,, �ii:,:vi_�, r1,�, b.�rinn at t?:'O £ Ma�ine Vi�n+ Pr v:_tl� . � W <br /> � - . O <br /> � <br /> Z <br /> O <br /> F- <br /> � � � � � o <br /> NOV 1 9 2007 a <br /> CITP r�t S��''RETT <br /> f — -- 1 ACKNOWLEDGEMENTOFCONDITIONS <br /> II The untlersigned owner/applicanl hereby agrees to hold and <br /> I �-� � '~,,., �` /J� save harmless ihe Ciry of Everett from any antl all cleims for <br /> �.����1�,-�'-'C'',- �/���/r damages,costs,ezpenses,or causes ot action that may arise <br /> Ap�tl lor Conslruction D to� beCauSe of in5tallalion and maintenante of ihe improvement or <br /> I other righl-ol-way use hereto applied lor and funher agrees to <br /> remove same upon notice irom the City and to replace public <br /> FINAL INSPECTION propedy damageQ Ihe)E�y. <br /> Approved es Conslructed Dato i : �E <br /> '._�.'�1.��.1 L�,,, t � '/, •�;_, -�-- <br /> _ SignaWreolApplicenl � �`��!` Cate <br /> � \. <br /> WOPK AUTHORIZED 6Y THIS PERh11T MUST BE STARTED WITHIN 10o DAVS�JF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> 70 CCMPL[TION.THIS PERMIT MAV�E CANCELIED OV 7HE CITV UPON ANV STOPPAGE UF WORK ON 7HI5 PROJECT OVER 90 DAVS DURATION. <br /> EPWP�IUGi DATAOAP.INC. <br />