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� <br /> PUBLIC WORKS Datc ,�;;::�G� <br /> PERN��T PublicWorksPermit=�NG.'US—UUr. <br /> Building Permit a <br /> PUBLIC WORHS DEPqRTMENT Planning Relereme : <br /> 320D Cedar Street <br /> Everett. Wq g8201 Pubiic Works Fee 5 =+�'' � '�"�-� <br /> (425j 257-8810 <br /> Guarantee S <br /> OWNEF NAh1E <br /> ANDAD�RE58?%T.�=Y: C3fi�JJ•�t.: APPUCANTNAME <br /> F;% E�OX r.Ui;.+�_ ANDADDRESS: <br /> SEA^TLE i�ii, P:_,16u <br /> PHONE: �y_����-�;�J,� PHONE: <br /> 7A%PARCELI.D.0 PROJECTADDRESS:, <br /> �di1' �ombard Av�rue <br /> DESCRIP710��OF... <br /> PROPOSED WORK�1--�/��:+'�`: <br /> FW <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours inadvance • phone (425) 257-8870 <br /> 2. All work shall be performed in accordance with this permit and current City of Everelt 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 /> 4 . AS peY ._ipp�Ov�d pi.911 r.�,3r2d 5�7j0?. . W <br /> 5 . _ll��:x�?1 new dri.veway apLon .=i:> pei rity of Everett Standsrrl F'lari � <br /> '��05 . <br /> /�/� <br /> o . �•.-��� ��^''^•_;�4�.: CO arranqe a IIlr%ting Wltl'1 �116 �J1.1�J�1C WPL'�:S 1:13j�:��'�Ut V/ <br /> prir,� to beqir.nir:g wo�-7: . M <br /> Y.1 <br /> �' ��`�. -�o'� �'�c f�acic edy,e o� -�� s,'d��tK zo ' txc��� 0 <br /> �T �w�rc� -�I�h � �lO'JS� -�O �'l��P prGuPvt"� ✓T�I � �t G Ic�h� 7 <br /> D��D -�'�f, Si�el.t1,�� , � 05-07-0� 4:46fM O <br /> tl 0�05006 <br /> DRIVE �5.00 <br /> b TOTAL �5.00 � <br /> �/lrLS P,r.�.�,t � 2X'/,�nr�ed � A OM CHEh' c^� <br /> 3�rf �,o0 4� AppL��a�� ^- O <br /> ��:� L�J'�y w�rk fpmorrcr.� � ��nAi ex+�s;w� <br /> U �i�!l`/�'!0 �r�, ZO�S <br /> ��;2-'0¢ — 'k�� M�"��,�-.05 <br /> ACKNOWLE CONDIT NS <br /> � /'— —7 OZ The untlersigned owner/applicant hereby agrees to hold and <br /> •� � save harmless the Giry of Everett from any and all claims for <br /> �ovea for Consimc�wn a�e damages,cosis,ezpenses,or causes of action that may arise <br /> because of installation and maintenance ot the improvement or <br /> other right-of-w hereto applied for antl further agrees to <br /> FINAL INSPEC"'ION rem�ie sam upon n lice from the City and to replace public <br /> ?OP�oved as Coistmcte0 P�,�erty d aged t ereb . <br /> Date <br /> �" 7 a Z <br /> _�� ignalure ol App rcant te <br /> WORK AUTHORIZED BY Tt115 PERMIT M11U5T BE STARTED WITHIN 180 D.4YS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE OILIGENTLY PURSUEO <br /> TO COMPLETION THIS PERMIT MAY dE CANCELLED 6Y THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />