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PUBLiC WOR�(S �'�° �-;�- _-�"�� / <br /> PublicVJorksPcrmitN PWl!105—OS ' <br /> PE R M 1 T Buiiding Permit s <br /> PUBLIC WORKS DEPARTMEMT Planning Ref=rence a <br /> 3200 Cedar Sirect <br /> Everetl,WA 98201 Pubhc VJorFs Fee S �'�`-' � �'! <br /> (425�257-E810 <br /> Gcarantcc S <br /> OWNf.fi NAME D�Y�'A !�UYt 1'-' A�'P��ICANT NA1d[ <br /> ANDAUDR[SS. " AtJ�ADDHE55 I <br /> b605 170th Yi SW � <br /> EUMONDS �aA 9"(,�o � <br /> r�iioNe ( a;5 ) 743-207z: aHorie �I <br /> TA%PARC[LI.D.p PROJ[CTADDRESS�. .j�,;iJ..' LUfR��IYI� AVl? <br /> p�orosFn vorik. N�_,w ��i.ii.;� r���t.: Ca Jr�OP�Gv��l� — Uj^iV�GW�.'I Z �i`G.Z� eX�SI..�. <br /> C� <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspeclion shall be made 24 hours in advance- phone (425) 257-8810 <br /> �. All work shall be per(ormed in accordance wi�h this permit and current Ci�y of Everetl Design a�nd Con;truction <br /> Standards and Specilicalions. <br /> 3. Call Location Underground Service�A8 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> �ti . Dri�»way shall bc per city ;;tandar.d #3u� . Wi�1Ch ot riie driveway � <br /> !i�ll nnt exceed �0' . � <br /> ��p <br /> 5 . F;r��=p � i� , �tre�.C.a : Le;:,i� .�C aLl tim�,� VJ <br /> Y. �'G(�i 7'!Un'I �G�G� GdGy2 b� j��6r�✓� l l� � m:vr i�n vrrl d7- ZfJ ! W <br /> �T C/�i�/GN/�vJ 7'� D/YLS'i✓J� p{"�ivL' � 'T)'7Y�7 `�'!"GG�n y e n�D O <br /> ' / / � / / <br /> SidCw2��. OS-"�1-i)1 4:14 H � <br /> ;I 010�0_= O <br /> ��:�IUr "" .�.i: <br /> . . _ ,.�. �� � <br /> .'r"-r:v -, �i;i <br /> i,.c��_' /!Ty)�� <br /> A i'r;':'E<�i V <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � �.� , �� Thc undersigned ownedapplicanl hereby agrees to hotd antl <br /> �G� �Q save harmless the City of Everetl iwm any and all claims br <br /> ��{�pioveq loi Conslr ir.l�nn �d��� damages,costs,expenses.or causes of 2ction that may arise <br /> because ol install� ion and maiNenance af the in�provement or <br /> olher r- h -ol-way se hcret ppLeA for and lurthcr agrces to <br /> remo e me up notice m Ihe City ootl fo replace public <br /> FINAL INSPECTION pro .rty ainag� thcreb <br /> Appinvvtl as Cr.ntibucled Dntc <br /> ���, /�, <br /> Sign Iwe of AppLcam —�— — �� Dale . • <br /> l'GGRK AUIHORIZ[D[lY THIS PFRMIT MUST BE STARTED IVITHIN 1�0 DAVS OF DATE PERh11T IS ISSUED AkD THEREAFTER IS TO�E DILIGENTLy pURSUED <br /> 10 CU:FI 1=11OV THIS P[Rldll YAY�E CANCELLE�[Y THE CIiV UP(1N AN1'STOf'PAGF OP 1VORK ON TH!S PP�OJCCT OVER'.h�D�YS DURATION <br />