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�uB�ic vuc��Ks <br />PER�It`�T <br />PUBLIC WORKS DEPAHTh1ENT <br />9200 Cedar Strect <br />Evr;rett, WA98201 <br />� (425)257-0810 <br />01VNER NAME JEFE7tIES�HOPE �PP <br />ANDADDRESS ANC <br />� 2731 H01:f AVE <br />EVEitETT 41F. 982p1 <br />PnoNe 4253399091 <br />PI{ON[: <br />TA% PARCEL I.D. u I PPOJ[CT <br />DESCRIP('ONOF jiDE47AL}: USE-E-'0-D3-�?liE DAY OtiuY <br />PROPOSED WCriK'. <br />PERIv11T CONDITIONS <br />Datc <br />Public Works Permit u <br />Building Permil q <br />Plannln� Heforence u <br />Pu61ic Warks Fee 5 <br />Guarantce S <br />NAME ��g <br />o��3Z _ <br />-�-�'rnC71"I' Ai�F <br />08126/20U3 <br />P410305-073 � <br />% <br />$0.00 <br />7. All calls for inspec6on shall be made 24 hwrs in advance - phone (425) 257-8810 <br />2. All work ;hall be pedormed in accordance with Ihis permit and current Ciry 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 />4. Leava a minimum ��f 5 feet oY eidewall: acea cleac fne �Wdeeteians. <br />5. Pcovide royed-nff aeea as neecl. <br />6. Peemit is good £ue one day onll, 8-39-03, fnc Cu.tnmee A�ipe'rriation Day. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownedapplicanl hereby agrces to hold and <br />save harmless the Ciry of Everett irom any and all claims for <br />damages, cosls, ezpenses, or causes of nction that may �rise <br />because ol installation and maintenance ol the impmvement or <br />other righl-of-way usc herelo applied tor and fuAher agrees to <br />remove same upon notice Irom the City and to replace public <br />prcperty dz iere <br />� <br />� ' ��- �-`� - G3 <br />--- <br />— - —� pl PPlicanl - -- Oaie <br />TO CO��PLC'� O�! T�H 5 PERM TE�AAY CE CANO[LLE� Y�THErCIN'I:PON ANYOS OPPAGE OF W07K�fJ CTHI6 PRO EC OVER 90 DAYS IDUP TIONPURSUED <br />