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Pue�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evcren, WA 98201 <br />(425) �B�a��TING SEP 1 s zoo5 <br />BP WESTCC?AST FRODUCTS <br />4 CENTERPOINT'E Dk <br />Lh PALMh CA 90fi23 <br />PHONE'. <br />TA%PARCELID.a <br />00480201400200 <br />OESCRIPTIONOF EX'I'END ISLAND CANOYI <br />PROPOSED WORK�. <br />PERMIT CONDITIONS <br />PHONE: <br />PROJECiADDRE55: <br />o�i� <br />PuLlic Works Pcrmil q <br />Building Permit a <br />Planning Relerence a <br />Public Works Fee 5 <br />3; 3!ZOp5 <br />PW0503-01<� <br />E0�111-n12 <br />5210.05 <br />`� 21, (�00 ' <br />7. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work sliall be perlormed in accordance with Ihis pe�mit and current City ol Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 46 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. As pei appeov-r� pl�n itsted �-u-b5 and the public wtL:s inspector's dixection in t.he <br />field. <br />lor <br />Dale <br />����/��� - <br />L IN PECTION <br />ApProvetl as Constm[tetl Dato <br />^ .�.-Z � [i� <br />�- F- � r <br />� <br />� <br />L <br />G� <br />F-� <br />c <br />�J <br />+l'.n <br />h, .-,� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />1'� <br />V+ <br />W <br />O <br />� <br />Z <br />0 <br />V+ <br />O <br />a <br />The undersignetl ownedapplicanl hereby agrees to hold and <br />save harmless the Ciry of Everett Irom any and all claims for <br />damages, costs, ezpenses, or causes ot action that may arise <br />because ol installation and maintenance of the impmvemenl or <br />other right-obway use hc�elo opplied tor and further agmes to <br />remove snme upon notice from the City and to replace public <br />prope damaged thereby. <br />lsv s---�-�s <br />ipnatwe a� Applkant DaL+ . --� <br />1VnHK AUiHC IZF.0 [;V 711I : PEHtdIT h1UST �f STAHI[D 1l'ITHIN 1A0 OAYS OF OnT[ P[RM111T IS ISSU[0 AND TMEREAFT[fi IS TO �E DILIGLNTLY PURSUEO <br />10 Cp1,1PLE110tJ THIS P[HIdIT fdAY B[ CANCGLLH) BV THE CI1V UPON ANY S70PPAG[ OF VJORK ON THIS PFOJECT OVER 90 UAY$ �URATION. <br />