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P����� ■■ �t7■v� Date �/::5!.:'i0? <br /> i <br /> PER�UIIT PublicWorksPermitk P'AIi,:O;;—O�i <br /> Building Permit a <br /> PUBLIC WORKS DEPART4IENT Planning Referencc q <br /> 3200 Cedar Sime� O�/ <br /> Everett,WA 98201 Public Works Fee 5 �`� � ���� p�V <br /> (425)257-8870 -��--�� <br /> Guaramee 5 � <br /> OY/NERN4ME TL�P.f C']11CY1C}C APPLICANTNAME <br /> ANDADDRESS: ANDADDRESS: �rY'BCIt CI11.t.t1CIC <br /> ti3uu i'1:enn�_,ult. Bea�_L Dr o300 Chennaul.t b�. ,_ <br /> MUKIi.^E� [•:A �+53'7, a_ii Lc <br /> Mf rF;ILTEO ;9A �r� ��?, <br /> PHONE: ( G;;S�J�1'.35bG PHONE -iq cr_� � ,• <br /> ( 4�_ )3�� 4b0 <br /> TA%PAqCEL I.D.a PROJECT ADDRESS' <br /> � 18 E Inte: city Ave <br /> oescaianoNOF �,le,-„i-ing and gradinq <br /> pROPOSED wORK: <br /> P'ri <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall be made 24 hours�n advance -phone (425)257-8810 <br /> 2. All work shall be performed in accordance with ihis permit and current Ciry of Everett Design and Consiruction <br /> Standards and Specifica�ions. <br /> 3. Call Location Underground Service 4B f�rs. before you dig. TOLL FREE NUMBER 7-800-424-5555 <br /> 4 . �-��p _ rr.�_ �t:s rl�an ;:it :a11 t.im,�: W <br /> � � _rd��l t)'.1� �-it11 . . � <br /> -�1i .��:u�ii: _.ti ����t re,�� ��tr�i�� �. t0226rp2f�8t3IlElli �i,.,l_�c__. <br /> N 0202031 � <br /> DTHER 25.00 <br /> �ora� zs.00 m <br /> CHEK c^`� <br /> A OM6B1? V <br /> � <br /> Z <br /> � <br /> � <br /> � <br /> 0 <br /> �� <br /> ACKNOWLEDGEMENT OF CUNDITIONS <br /> i��� yL � 2� O� The untlersigned ownedapplicant hereby agmns lo holtl and <br /> save harmless the City of Everett trom any and all tlaims lor <br /> pro�ed ior C ns�mciion ome dam��es,costs,expenses,or causes of action tha!may arise <br /> � � because of ins�allation and maintenance ol lhe improvement or <br /> �'W--- r J_16,_v 1 other righl-ot�way use hereto applied for and lurther agrees to <br /> FINAL INSPECTION remove same upon notice irom the City and to replace public <br /> propen ama ed Ihemb <br /> AOPmverJ as Conslmcletl Date �. y ' ��� e <br /> gn3 re o�A I'^ nl D.lie � <br /> WORK AUTHORIZED BY THIS PERMIT M� �i BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE OILIGENTLV pUqSUED <br /> TO COMPLETION.THIS FERMIT MAY BE CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATIOII. <br /> i <br />