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� � PUBL�� WORKS Date 4/3/2C01 � <br /> ����'� PublicWorksPcrmilu PW��10�4- OU5 <br /> Building Permit a <br /> PUBLIC WORI(5 DEPAF.T'AENT Planning Relerence a <br /> 3200 Ced�r Street <br /> Everetl,WA 98201 Public Works Fae 5 $�5 . 0 0 <br /> (42:)257-8810 <br /> Guarantcc S <br /> nr�o'nooR ss:Yuu eni Ne:;terenko APP�ICANTNAME <br /> 4 Y ANDADORESS: Pk.'teZ Martynovych <br /> 2226 Jacksoi.� Ave 1801-Madison SY. <br /> EVERE'PT WA 58203 EVERETT WA 98203 <br /> PHONE �4.7.8� .�.BO'b7��I PHorve � o <br /> ( 425)3�3-5.,9II <br /> TAXPARCELI.D.a PROJECTADDRESS: :;22fj JaCj;.SOTl AVB <br /> PROPOSED WORK: GL]de front_ yard at SFR <br /> Shape L:p front yard with BackLoe. Woric :;:tarted <br /> previously <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspedion shall be made 24 hours in advance- phone (425) 257-8810 <br /> 2. All work shail be perlormed in accordance::-ith this permit and current City o(Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4 . Y.eep city stre.ets clean at. all times W <br /> 5 . Thi.s pei-niY. fuc qi�dinc� only � <br /> � <br /> � <br /> � <br /> 0 <br /> � <br /> Z <br /> O <br /> i'.i. ;: I�— <br /> v! <br /> � <br /> a <br /> / ACKNOWLEDGEMENT OF COf�iDITIONS <br /> �,J'�(/, -��/� ,i/ � O/ The underslgneJ ownedapplicant hereby agre^.s to hotA and <br /> ���L�� J save harmless the City of Everett Imm zny and all claims for <br /> Sc���o��ru lar Constmr.eon atr� tlamages,costs,ezpenses,or cau of action tiiat may arise <br /> � because of inslallation and maiN� � :c of the improvem�nt or <br /> c // /� o;her righ4of-way use hereto applird br and furthei agmes to <br /> —�"'Z remove same u nolice from tba City and to replace publir. <br /> INAL PECTION p eA�dam. dihereby. <br /> Apnn.rvetl as Constructed D�tr z � p � <br /> _ �—J _' ' _ / . _ <br /> iqnaNre ol AP{leanl �_--- - p��..- - —'J' <br /> YJORK nI;iHORIFGD f�V THI.`,P�R61R M11U5T BB$TARTED IVITHIN 180 DAVS OF GATE PERt.YIT IS ISSUED AN�THEREAfTER IS TO DE DILIGENTD, PURSUED <br /> 10 COF,PL[TIGc: TI iL;Pc�dd1T h'�4V�[CANCELLED�7'1H6 CITV UPON A�dY STOPPAGF.OF INORH ON THIS PROJECT OVER PJ OAYS DUPAT!JN <br /> �� <br /> � � <br />