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pUBLiC WOR!(S <br />PERMIT <br />PUBLIC WORKS DEPAFTMENT <br />3200 Cedar Slreet <br />Everett, WA98201 <br />(425) 257-8810 <br />7\YNER NAME JEFFRIES H6FE <br />UJDADDRESS: Z�31 HUYT AVE <br />EVERETT 4�A 9H2O1 <br />PHONE: 9253398091 <br />TA%PARCELI.D.N <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />Datc <br />Public Works Permit a <br />Building Permil tt <br />Planning Relerence A <br />Public Works Fee 5 <br />(=uaraNce 5 <br />APPLICF�ITNAME S�(.jE <br />ANDA�CRESS. <br />PHONE: <br />,PROJEC7ADDRESS: yZs7 Hpj*j' AVE <br />06.�30/2005 <br />Pq0306-049 <br />P4T0308-033 <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be per�ormed in accordance with ihis permit and current Cily of Everett Design and Conslruction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NllM9ER 1-800-424- <br />9. Leave a minimum of 5 feet of sidewalk acea rleac fuc ne�ie�tcians. <br />5, p[ovi�e rup�d-off ae�a as ne�cl• ru�tomec A�seeciation Day. <br />,� i foc one d,sy �,nly� 7_q2-�15, fot' I�C <br />6. Peemit is g�_ ,� <br />$0.00 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />� <br />� <br />� <br />o. <br />� The undersigned ownerlapplicaN hereby agrees to hold and <br />save harmless the Ciry of Everelt Irom any and all claims for <br />� damages, costs, eapenses, or causes of action Ihat may anse <br />pppm�ed lor Constmcuon oaie because of installaticn and mainteoanee ol the improvement or <br />other right-of-way use hereto applied lor ? a�°f e lacefeubl'c <br />remove same upan nolice ir P P <br />pro e a ge th r � <br />FINAL INSPECTION pa1e � — <br />pppmved as Constmcled <br />IicaN Da <br />TJO COMPLE7OION T�N SYPER�d TEMAY BE CANCELLED BY�THE CIT'�UPON ANYO STOPPAGE OF WORK ON THIS PROREC OVEP 9� DAYS IDURATIONPURSUED <br />