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v <br /> / <br /> PllBLIC i�VORKS Date :i28/.( r•. <br /> ?ublic Works Permii# y-�id:�n0_t-�:�.''": <br /> �i.■71�1� Buildinq Permit�I . . . .- . _ . <br /> PU6LIC WORKS OEPARTMENT P�anning Reference# <br /> 3200 7edar Slreet <br /> � Everen.WA 9d201 Public Works Fee S Y_� <br /> (a25' 25�eaio JUL 1 6 2C0 Guarantee 5 <br /> To aos i i��........................... <br /> OW NER NA�dE1-7, r,.�i�/ ,1:i� APPLICANT NntAE <br /> AND ADORE55"•LD••. � : . TIS��Y ANG A�DRESS'. <br /> 11'I 1 j;r�V 1 j.�r,_ <br /> atiikETT :'.'. 9�_D i <br /> PHONE: �1J5?],74�$' PHONE�. <br /> TAX PARCEL L�.C PRC2cCT ADDRESS. <br /> Qilq�".G(._.il:liil_iii -. 1 ` -.• p,��„ <br /> �ESCRIPTIONJF rr-^•i^^r _ _ <br /> PROPOSEDb'JORK.'� -'- '-"' �""' -� <br /> PERMIT CONDITIONS <br /> t. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work sl�all be peiformed in accoroa^ce wilh this permit and current City ot Everett Gesign and Construction <br /> Stz•�dards and Spec,!ications. <br /> 3. Call Location Underground Sen-ice 48 hrs.te(ore you dig. TOLL FREE NUMBER 7-800-424-5555 � <br /> .. _ ... s . _ . .. ,. -._ , - - -"- - _ '- - `- i:. . _ -- 1� <br /> � <br /> � c� � <br /> �,-�-- � �, <br /> � msr�r�d b /� <br /> m m � � V <br /> .� � <br /> GJ ��, "7 <br /> O �,�` <br /> � �, <br /> �.,_., Z <br /> � � �' <br /> �'� ^ � <br /> ,�, � <br /> �Cr, �. � � <br /> r''� �o.�i //'� <br /> .'-'��n.c-a � V� <br /> nUlc�'oc"'i� " <br /> ��rv� O <br /> r <br /> ��i � <br /> ACf<NOWLEDGEMENT OF CONDITIONS <br /> � / ' I The undersigned owneUapplicant hereby agrees to hold antl <br /> •— /. � �7. �. � ,�,Q Q� save harmless the City of Everett from any and all claims br <br /> np �ve Constmction - Dale damages,cos�s,eapenses,or causes ol aclion that may arise <br /> '�/��_ �! because of installation ard maintenance of Ihe improvement or <br /> ��p l, other right�of-way use hereto applied br and luriher agrees to <br /> �,.W�_ 7��6�C j remove same upon notice fmm ihe Cily and to replace public <br /> INAL INSP TION property�am ged ihyreby. / <br /> Appmvedas ons�mc�ed �a�e �� � �/// � i — <br /> C�C�i� i/i 3 O<« <br /> Signalure 01 ApDlmanl Dale <br /> C;OP.Y.f.UTHORiZ[D 8�THIS PERIdIT FdUST F3E START[D NJIiHIN 1C+C D4YS OF DATE PEHFdIT IS ISSUED AND THEREAFTEF I$TO BE DILIGENT�Y PURSUEU <br /> 70 COt.1PLE�lOP1 THIS PFRL9IT G1AV 96 CANCEI_LED f3Y THE GI i�UPON ANY STOPPAGF OF WORK ON THIS PRCJFCT OVER 90 DAVS DURATiON. <br />