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P U B L 1 C W O R K5 �a�� 05/OS/2003 <br /> Public Ylorks Permit a PW0305-005 . <br /> PE R M 1 T Buildin�Permit u <br /> PU6LIC WORKS DEPARTMENT Planning Rele•ence q <br /> 3200 Cedar Street <br /> Everett,WA 982J1 Public Works Fee S 525.00 <br /> (425)257-8810 Guarantee$ <br /> OWNERNAME �TE�F.� • APPLCANTNAMS <br /> ANDAODRESS: 171( HUYT AVE �NDADDPE53�. <br /> EVEkETT WA 98201 <br /> PHONE: 9252522999 PHOIJE: <br /> TAXPAPCELI.D.a UU ,S o UL �U PROJECTADORESS: I7Sl} $}YT A�B SE <br /> DESCFIPTIONOF �� �� • - Y/I11STA.LL Iil;ASS CUP.B � $ZDEWALK <br /> PROPOSE�WORK: <br /> � d�'��ec.� <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 2A hours in advance-phone (425)257-8A1U <br /> 2. All work shall be performed in accordance wilh this permil and currenl Ciry of Everet� Design and Cons�ruclion <br /> Standards and Speci(ications. <br /> 3. Call Location Underground Serv�ce 48 hrs. before you dig. TOLL FREE NUM6ER 1-800-424-5555 <br /> 9. Keep C.ity stceets cl�an at. all t.im2s W <br /> 5. Meet: vith Yublic Wor.k:� Ln:�p��cro�• laefnce sr_aer_inu wock (Dennia Gablem3n, r <br /> 9�5-339-79(�3) �/� <br /> \/ <br /> O <br /> � <br /> Z <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF COIJDITIONS <br /> I ^ //� l ( {/,., The undersiqned ownedapplicard hereby agrees to hold and <br /> y /t�" �yp��� J �/�–v—J save harmless the City of Everett Imm any and all claims lor <br /> Approv for Constmytion Date / damages,cosis,eapenses,or causes ol action ihal may arise <br /> Cecause ol installation and maintenance of the hnprovcment or <br /> ��i�/ -? // � ZJ � �. - other right-ot�way use her Io appli �cd further agrees to <br /> �-� IL�JL /� v l /� �'�� removn same upon no� fron ie City ntl to replace public <br /> FINAL INSPECTIDN � m reby. <br /> ppprovea as Consirucled Oale ���� <br /> Sig Nre o�A lican Date <br /> WOf�K AU7HORIZEO BY THIS PERMIT MUST 6E S7APTGD WITHIN 18�DAYS OF DATE PERMI7IF iSSUED AND THEREAFTEP IS 70 BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT IdAY BE CANCELLED BY iHE CITY UPON ANY STOPPAGE OF 1.JRK ON h115 PROJECT OVER 90 DAYS DURATION. <br />