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PUBLIC WORKS Da�e 11%3;200.7 / <br /> PERMITPublicWorksPermitk F�o;ll-��3 <br /> � Building Permit s <br /> PUBLIC WORKS DEPARTMENT Planning Releren:e q <br /> 3200 Cedar Slreet <br /> Evcren,WA 98201 Pu61ic Works Fee 5 <br /> (425)257-8810 S?=•�� <br /> Guaramee 5 <br /> OWNERNAh1E Eact:�n Yl�-'kY AppUCANTtJnMG <br /> ANDADDRESS:33�.�L00bdCd AVapUN nNonoor�ess: <br /> E�JERETT Wk 98::ii i <br /> PHONE: Q�S�S�OGS(j PHONE: <br /> TAA PARCEL I.D.p PROJEC7 ADDRESS'. •.•. <br /> �_�1� LomLr,cd A��enuc <br /> DESCRIPTIONOP 1d2L1 UeiveWay <br /> PROPOSED WORH: <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall be made 24 hours in advance - phone(425)257-8d10 <br /> 2. All work shall be perlormed in accordance with this permit and curreN City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 9. New Dci��evay �hsll nut exc_ed :'q� in width. The nev drivevay shall be paved from � <br /> the I;ack nf sidevalk to ar_ lea�r ;:p' �,eyr���� t��r fcont �iL'Q�)�CCY Llil�. � <br /> 5. Please setup a meeting �rith the PuY�lic Woxks If13�iECiOY� F�Yli�L' to starting r,+���k. 1'hf• � <br /> Inapectc�es r_ell phune nwol?ec is �?n-7�7D3, <br /> 6• Reep city �tc?�ts clean at all t.imes dt�rning ci,nst�uction. M <br /> {i� <br /> �11-03-03 311003 0 <br /> �Q DfiIVE 25.00 <br /> ��"l ��� n�� TOTAL 25.00 � <br /> �� Gf-iEFf: p <br /> �Q A OH5248 <br /> ���OS � <br /> � <br /> a <br /> � -:; - , _, �� �,� � i � . �� i} �. <br /> � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ���' !/D� �� The undersigned owncr/applicaot hereby agrees to hold and <br /> �-' � � save harmless Ihe City ol Evcrett Irom any and all claims br <br /> qp ovee lor Cons�maion D io damages,costs,expenses,or causes ol action that may ar;e <br /> because ol installation and maintenance of Ihe impiovement or <br /> olhcr rit�ht�ol-way use hereto applied�or and lutlhcr agrecs to <br /> remove same upon ootice irom tlie Ciry and to replaco public <br /> FINAL INSPECTION operty dam2ged ih eby. <br /> Approvetl as Conslmctetl Date �1I � 'G� <br /> Signalure ol Applicant � Dale <br /> WORK AUTl10Fi12[D BY THIS P[RMIT MUST BF STAPTED WITHIN 180 DAYS OF�ATE PERMIT IS ISSUED AND THEREAFfER IS TO BE OILIGENTLY PURSUED <br /> TO COAtPLETION THIS PERMIT MAY BE CANCELL[�BY THE CIN UPONANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />