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P�g�'�y eA.���C Da�e 10/28/2005 <br /> �S rr �7 <br /> C Public Works Permitk pp0510-040 <br /> �G���� Buildin9Permit# 80510-0�3 <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Gedar Slreet � <br /> Everet�,WA 90201 Public Warks Fee$ S5, 133.b9 <br /> (425)257-8810 Guaranlee 5 <br /> OWNERNAAIF jjOUSING HOFE �PPLICAIJTNAIdE <br /> ANDAODRESS: ANDADORESS: OFZNEP. <br /> 58=U EVERGREEN WAY <br /> El�'FETT WA 98203 <br /> PHO�;C-: PI IONE: <br /> I. TAX PARGEL I.D.p PPOJ[C7 nUDRESS: <br /> 00599701900?fl3 '��. 7 How= -: ��o a <br /> �ESCRIPTION OF �G7 MULTI FFS�SILY <br /> PROPOSED WORK'. <br /> PERMIT CONDITiONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance - phone (425)25?-8810 <br /> 2. All work shall be performed in accordaoce with lhis permit and wrrent City of Everett Design ar,1 Construction <br /> Slandards•and Specifications. ' <br /> 3. Call LocaCon Ur.dcrground Service 48 hrs.before you dig. TOLL FREE NUMBER 1•800-424-5555 <br /> � <br /> 9. A� per apF,co��:! ol:n :1=t�;! 5�9I pC, and the public w��rY,� inaj�E'L'LJL"'s dicecticn in the � <br /> f ield. v'^� <br /> V+ <br /> f � � <br /> , �'� ��;�,�� m <br /> i y ' ��'�� O <br /> ; ;`� . �('����'F��,# i�Y' � <br /> ' (�/J( r ,' ����7t ♦Y �� .. . � <br /> + ��. � 7V��D� � .y�7� r <br /> � <br /> "`��.t � . � � <br /> � _: � l�.ar ��i�1 ���ics��� .� <br /> � , . . �::. � <br /> ; <br /> , , �, <br /> �. y , a <br /> � � x .� � <br /> fi ;�r � ' <br /> ; t,F <br /> t <br /> I <br /> ACKNOWLEDGEPAEfJT OF CONDITIONS <br /> G �_ � _ The undersigned ownedapplicant hereby agrees to hold and <br /> save harmless the City of Everet!from any and all claims fcr <br /> A proved far ConsVuclion Dale damages,cos�s,expenses,or Causes Of aCtion tha�may B�i;�i <br /> because of installa�ion and mainlenance of Ihe improvemenl or <br /> other right-o4way use hereto applied for and furiher agrees to <br /> remove same upon notice from�he Cily anA to replace pu6lic <br /> RNAL INSPECTION prcperty damaged there6y. <br /> npprovea as Cansimcted oate <br /> SignatweolApplicant � Dme <br /> N10RK AUTHOR2ED BV THIS P[RMIT MUST�E STAFTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO BE DILIGENTLY PUFiSUED <br /> TO COAIPLETION.THIS PERtdIT G1�Y�E CANCELL[D�Y THE CITY UPON ANY STOFPAGF OF WOPI:ONTHIS PFOJECT OVEF 90 DAVS DURATION. <br />