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PUB�ic woRKs <br />. . <br />//�/�J <br />'��a <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Stroet <br />Everetl, WA 98201 <br />`°zs,Z��'�OSTING AUG 18 2004 <br />ANDADDRESS: BLOC$ Q2E$HTRl� j�j,C <br />10801 M?SN ST STS 100 <br />BELLEI/UE fiA 98004 <br />PHONE: QZ$609�q00 <br />TAX PARCEL I.D. M <br />28051800300800 <br />DESCRIPTION OF <br />PROPOSED WORK: NEW RESTAURAjPj' $UjLDING <br />PERMIT CONDITIONS <br />APPLICANT NAME <br />AND ADDRESS: <br />PHONE: <br />AD�RESS: <br />Date <br />Public Works Permit A <br />Building Parmit k <br />Planning Reference # <br />Public Works Fee S <br />GuaranteeSi ,,, <br />ri <br />10/21/2003 <br />PN0310-027 <br />B0310-029 <br />550.00 <br />7. All calls lor inspec�ion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be peAormed in accordance with this permit and current City of Everelt Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before �ou dig. TOLL FREE NUMBER 1-800-424•5555 <br />9. PER APPROVED PLANS LU\TED 12-22-03 <br />��� <br />�1.,+` <br />.� <br />t...�` <br />W <br />� <br />02-19-04 11.:44A;1 � <br />�� 3100�7 <br />OTIi�R 50.00��o^S � <br />OiH�R 14400.0(7�I .- �- O <br />TU7AL 14450.00 <br />A OM6614 <br />ACKNOWLEDGEMENT OF CONDlTIONS <br />The undersigned ownedapplicant here4y agrees to hold and <br />save harmless the City of Everelt from any and all ciaims for <br />damages, cosis, expenses, or causes of action that may arise <br />becauso of installation and maintenance of the improvement or <br />other righhof•way use herelo applied for and funher agrees to <br />remove same upon notice fromt1� City and to replace public <br />prppeitypamaged�t C[�by. / j <br />/ <br />rtC6zL. ,.�� z'l� -o� <br />SignaNre of Appiicam Data <br />WORK AUTHORIZED AY THIS PERMIT MUST BE STARTED WI7HIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER I.S TO BE DILIGENTLV PURSUED <br />TO COMPLETION. 7HI5 PEFMIT MAY BE CANCELLED BY THE CITY UPON ANV 5iOPPAGE OF WORK ON THIS PROJECT OVER 90 DA1'S DURATION. <br />