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PUBLIC �IIORKS <br />PERiVI1T <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl, WA 98201 <br />(425)257•881�-� pOSTING. �u� o s <br />........................ <br />OWNERN�ME SEVENTH AVENUE PI,AZA iLC <br />ANDADDFESS: 62O SE EVERETT MHLL WAY �250 <br />EVERETT WA 98208 <br />Pr+oNe: 9253933866 <br />TAXPARCELI.D.M �80518��30q9�� <br />DESCRIPTIONOF �� ' ' <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Date <br />Public Works Permit N <br />�uilding Permit # <br />Planning Referenco # <br />Public Works Fea S <br />5 <br />DOqG ENGLESON <br />PHONE: 4� SP S� 92 O O <br />7;'19i20U5 / <br />PWOSU9-030 <br />50509-OLO <br />$45.00 <br />PROJECTADDRESS: �ZO :iE EVERETT MALL IIAY #:'OO <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pertormed in dccordance with lhis permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />9. Site week must I.�r_ r�nne pet P13I1 appcoced on 6/O1/05. �Cp�J}/![7j�a(/�e� <br />�,�� E � os <br />Appi vetl lor ConslNeiion Da <br />Approvetl as Construcletl Dato <br />�-/S-a <br />� i� �... �.�. <br />l J"� �-� c»- u� an cc� ...� <br />r —� m i <br />x.T_ iC: C'i c� <br />M [rl nl � J <br />1'1 � l7 <br />^ <br />� <br />Cr.J <br />"•:J <br />;n n'� Fn <br />rz� � �.> �n ..'. � n -n <br />n,� i>`. J.io.s.r. <br />O.ii,Jry_'i:>, - �-.1'� <br />i_�i �'I ''_ �: :_c ci r:I <br />_ 11 <br />rr'; <br />f�q <br />L'I <br />�M1 <br />+` <br />Q <br />G <br />a:r� <br />r.r i <br />-n C• <br />rr : ., <br />� , _� <br />I '� <br />�N <br />r�� <br />g <br />�; <br />=; <br />� <br />L-� <br />0 <br />_ �� :� <br />_;� <br />�� <br />��4�. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/�pplicant hereby agrees to hold and <br />save harmless ihc Ciry of Everett from any and all claims for <br />damages, costs, expenses, or uses of action Ihat may arise <br />because ol installation i nance of�the impmvement or <br />olher righ4of-way use r �i r further agrees to <br />remove same upon no6 h he it to replace public <br />property damaged ihe . � �,� A <br />Siqnalure olApplicant <br />Date <br />WORK AUTHORIZEO BV THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PUR"aUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />s�, <br />