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PUBLIG WORKS °�'e - _ <br /> / <br /> oo;�i;_- <br /> Public Works Permit# .. <br /> pE�i IN I T Building Permi�d <br /> PUELIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar S�reet <br /> Everett.WA 5 201 Public Works Fee$ <br /> �425)257-BL10 Guarantee$ <br /> Ol'JNER NA1dE , ,.. APPLICANT NAME ^ <br /> AND ADDRESS L"-di:i •..�.� .. _: n :._,_ ��F�':5 �ND ADDRESS: _ <br /> _ , .. :',�::. <br /> 14�i1 _:'r1:A".�� nl'x� <br /> L\'EF'.L"_T .. )r���li <br /> PHONE: <br /> PNONE: Q_59;114a' <br /> TAX PARCEL I.D.a _. _ PROJEGT ADDRESS. <br /> �i( 95i.�,,:�.,,. ;.,' -.��-,-- • - <br /> DESCHIPTIONOF p:.NCE =',� T:� i:=�:f�T-�'£..�;;-i <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspectioc shall be made 24 hours in advance- phone (425) 257-8810 <br /> 2. A!I work shall be performed in accordance with ihis 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 /> � <br /> _.^. tl:e :�=r:' ' ::�: ch� "�_t'.� r. . � __. _. _ �., *!:�- - . . .. _ �i, -� � <br /> � .�.. '. --..,,- = : .��. .�: -�. ; . . .. ;_ . _ . _ - '^ <br /> .. . � " r�i - � �v V/ <br /> L�9:!�VE�1 dC �iWil�-C�a -i:i'�eil`i'-. ' <br /> i-- _ ��., <br /> ''-- `'=a-'A-`- 84G_t_ ,-. `rq s?fc�= ;m, dinoim7 ::c rest::. �-� �1 W <br /> �; <br /> _ _ Z r_ O <br /> t] ._ I'�'f'. <br /> I��) <br /> fY+ - . � <br /> C� .'.���- .. <br /> c�l <br /> f.7 �=�; � <br /> ..,� � <br /> r r, <br /> j? 'v!-' � <br /> cn �' � <br /> ��. <br /> �, _ <br /> r`,' N Y/ <br /> �„�j�n �_ <br /> . �, <br /> ���: - _,,._ � <br /> ,` <br /> ,_.�:, a <br /> ACKiVOWLEDGFMENT OF CONDITIONS <br /> � The undersigned ownerlapplicant hereby agrees to hotd and <br /> ' I � '/ Z 0 i save harmless the Cily of Everetl Imm any antl atl claims for <br /> n o• , �or Constmct�on oate damages,wsts,expenses,or causes ot action that may arise <br /> , , because ol instellalion and maintenance of the improvement or <br /> � / other righl-ol-way use hereto applied iv and(urther ac�rees to <br /> � � �Q � ��b r ve same upon notic the City and to replace public <br /> FINAL IN CTION prope y damaged the y. — � <br /> App ovetl as Cons�mcted ����� 2 � <br /> _1_ _� I__� <br /> SignaWre ol 4ppliwm Date <br /> WOHK AU1HORiZ[D BV 1HI5 PERM1UT M11lJS7 BE STARTED WIThIN 100���S OF[IATE PERh71T IS ISSUED AND THEREAFTER IS TO BE DILIGEMiLV PURSUED <br /> 10 C^IdPLF710N.THIS PFRtdIT L1�'I�c CANCELLED EiY THF G:A"U�'OH�1PJ1'SIC�PPAi;�-Of"bJOPK ON THI�PFOJECi OVeR 90 D�VS DURATIOR <br />