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P�B��C 11VORK� Date i19i28/'007 / <br /> PublicWorksPermit# FGC1709-032 <br /> �ERMIT BuildingPermitu E0701-911 <br /> PUBLIC WORKS DEPARTMENT Plainir.q Reference# <br /> 3200 Cedar Street <br /> Ecerett,WA 98201 Public Woi;�s Fee 5 <br /> (425�25�-ae t o 5 9, 15 5.1 B <br /> ,� <br /> � �t-� - <br /> "`��'I i�� �� 0��, Ov <br /> OWNER NAME APPLICANT NA�dE I <br /> � ANDADDRESS: MOIJNTAIN VIEI'1 L'JT V LLC AN�ADDRESS: � <br /> ?n70p 99TH AVE A STE 2P0 � <br /> � LIfi1NWfK�D Wk 98036 I <br /> aHone: 925775990n PNONe: I <br /> TA%PARCELI.D.N PR�JJECTADDRLSS: <br /> 28040100'n�EO �1�:� ntn�rs�-r sT <br /> DLSCRIPTION OF <br /> r�raoaoSEowor�K: }lEta hiT,'JUFnCTIJF;IAG SHELI, <br /> PERMITCONDITIONS LC? 5 NO!tt7TAIt1 VTEW IIUSI17E,5 CE1iTEF' <br /> 1. All calls(or inspection shall be made 24 hours m advance. <br /> 2. All work shall be performed in accordance with Ihis permit and currenl City of Everett Design and Consiruction <br /> Standards and Speci�icalions. <br /> 3. Call Location Underground Service:8 hrs. before you dig.TOLL FREE NUMBER 1-800•A24-5555 W` <br /> r <br /> � <br /> il, i:�C 3�,n�._..:._.� F,lii; � <br /> ... .�a�s'r={rnsrcn��+ � � <br /> � - '���?' �' �jtn� c�� ,r� � O <br /> �� � �� <br /> .'_iT��' ��. ^ <br /> -�;t��c'.c9 c . / <br /> �J/ <br /> �r� <br /> C� <br /> , da a �� �— <br /> �, .�F.,,_,« n � .-- � <br /> �,_ �,., <br /> O <br /> a <br /> ! � � - �� � I ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees tu hold antl <br /> � ^ i � c^ save harmless�he City o(Everett Imm any and all claims lor <br /> ��� CJ ^�, damages,cosls,ezpenses,or causes ol action that may ari;e <br /> Appmve� r Const�ucao�, D�to because of inslallalion and maintena�ce ot the improvement or <br /> / / � C othar righ4of-way use herelo applied br and luither agrees to <br /> ��� �.-,'��-(���� 3"6�'{'J_ remove same upon nolice from ihe City and to replace pubhc <br /> TFINAL INSPEGYI N property damaged ihereby. <br /> Approvetl as Canslmcted Dale ' / /�� <br /> � 7/ // /p�u�o7 <br /> liL�_ ....�t. <br /> _ . . _ __ .. � Signaturo of Appliwnt Date <br /> �I i I{pq�ZED BY THIS PERMIT MUST OE STARTED W ITHIPI 1 NO DAl'S OF DAT[PERMIT IS ISSUED AND THEREl+FTER IS TO BE DILIGEHTLY PURSUhD <br /> �Lf710N.tH15 PERPdR M11AV�E CANCLLLED OV THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJ[CT OVER 90 DAYS OURATION. <br /> .^�iq �ATApAP.INC. <br />