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. <br /> PUBLIC WORKS �"°�0 02!]4f°OG� <br /> PERMIT PublicWorksPermit# r!����`��-01: <br /> BuildingPermil# Ci�l02-'i"[8 <br /> PUBLIC WORKS DEPARTMEIJT <br /> ;L00 Cedar Slreet Planning Reference X <br /> Everett,Wq gB201 <br /> (425)257-8810 Public Works Fee S ,y,. .,;;i <br /> Guaran�ee 5 <br /> OWNER IJAIdE � — <br /> AN�ADDRESS: NT1:STi�H p.Cv; APPLICANTNAME <br /> ANDADOAESS: <br /> �el; m1n,,�i•1: sr �L, �] <br /> y����Llt lf��. 1P.�11` <br /> PHONE: G_-�j:7F.'3;3;i`'. PHOIJE: <br /> I <br /> TA%PARCELI.D.# � �_ PflOJECTADDRESS: � <br /> ;iii�� �Or..ilil�i(��i;'i�i' ____ 1].:�.�i E ?""•LEF;56N L�j=: <br /> OESCRIPTION OF �� — <br /> PflOPOSEDWORK� ��EF.1 ijOff,SF <br /> PERMITCONDITIONS GC:T r,r.; 1"ELEFSp'.{ ct�:�- --�-- ._.. <br /> 1. All calls lor inspection shall be made 24 hours in advance. <br /> 2. All work shall 6e performed in accordance with Ihis permit and current City o(Everel� Design and Conslruction <br /> Slandards and Specilications. <br /> 3. Call Location Underground Servicc 48 hrs. before you dig.TOLL FREE NUMBER 1-800-424-5555 �, <br /> 4. ,.�_, ,, .^ r,: j-.:. pa■ <br /> ! . ;ca1-�i r:c�_ ri,,u . • � ti _«tall�� ar��? 1, ..ei i a�l•,. <br /> . . ?Il3*9 1 FCO 1 il C41f1>1 Il�Bc�- tlLu 1:- r t �« s - �■ <br /> }.�i .ifv aa 'c�e•r_tt .,, an•9; �t � .r �rc�all par.^el:. II\ <br /> . . .�+' 7 . .�:a!:� �1 ��:.��.r: �l fc��an r.,��,nu�r�.�,n, _ ::i=_��✓:ali• and d; iv.r.�a� - snall Y.a �; r��.�-- v � <br /> . � _.�,�, . . ., ��. �initt .�{ . �ts, tJ w.ry �� - . J . h�u1u - <br /> � jn y � � -1 tOr� .�k T�t��C1pI L'.' ��) Y��G•r� rlri ihl"S f��7'I�10� ) "�t-� Ri� <br /> t l� i 11.1 . � '. . �ia��t t i-�3 tC _l.�j �1. � �,}�� i�� �_ c � � '' y�c ':t: -. /� <br /> � s ry�n T �-,.� r � ;' �) <br /> 71 �� tti Ll WCL. tl i. : 1'��C Ci:� *FI3 ::it_ _� CLLil - d<F :'t.. �•'�OJ j7:�39G . 31� •�i'I� � <br /> :7L�.y_t}a. ,.L x'U i.*i��'FCf.K:@�. � - ' n1' <br /> � tti' .:� ,� � <br /> .�� �� o <br /> _.�_t' ..�. ''_" <br /> r'.r a � . v 1 Y 1 � <br /> r�'l� :�il_ — �J r�` �� ..� _ <br /> _ _ SC�L, `�,f �/� <br /> �';.i.rv+' _ _ ' _-;di�- .." e �. V <br /> - �, _ .- � _ _ .ri - <br /> ; ._ . - a <br /> � �j% . �^ � ACKNOWLEDGEMENT OF CONDITIONS <br /> �'� /,� � The undersiyned ownedapplicant hereby agrees�o hnld anti <br /> ��"'�j-r.• .�—� b'/��)�7 save hannless ihe City o�Everelt Irom any and all claims lor <br /> Appm eA lor Conslmclion D �c 1�— damages.costs,expenses,or causos ol action ihat may arise <br /> � because ot installafion and maintenanco of the improvement or <br /> other righ4ol�way use herelo apptied lor and lutlher agrees to <br /> _ __ r�move same upon notice frcm�he City and lo replace public <br /> FlNAL INSPECTION propedy da ayed Uiereby. <br /> Appmved as Conslru<led Dato '/ <br /> V� —_ __. . _�� 7/// <br /> — -- Signatum ol Applicanl . Date <br /> WORK AUTHORIZED�Y THIS PERAIIT A1UST BE STARTFD W17HIN 100 DA}'S OF�ATE PERh11i IS ISSUEDAND THEREAFTEfl IS TO BE DILIGENTLV PtIfiSUED �� <br /> TO COIdPLLTION.TM$PERAVT A7AY bF C4NCELLED BY TH[CITY UPOIJ ANY STOPPAGE Of NORK ON THIS PROJECT OVEfl 90 DA1'S DURATION. <br /> [PP:�'I;:G�n <br /> pAiApAR.ItlC <br />