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Sw <br />P'1.��3LIC WOR�S <br />PERMIT <br />PUBLIC WORKS D[PARTMEMT <br />3200 Cedar Slreel <br />e�c�en. wn 9e2ci <br />' (425) 257-8810 <br />OWNER NAME �'�u <br />allo�ooaess� 1i26 MONRUE A`JE <br />EVEkETT ilh 9R2q3 <br />rhiONE a�$3594't�7 <br />TA%PAFCELID b <br />DESCRIPTION OF <br />PROPOSLD WORK. <br />P[RMIT CONDITIONS <br />APPLICANi HAh1E <br />ANDAUDR[55: <br />PHONE <br />PROJECTAD�RESS. <br />n:�i� <br />Pu61ic Works Permit N <br />Bu�lding Permd � <br />Planning Reference d <br />Public Woiks fee 5 <br />Guaiantec S <br />8.3�5— �Q r/hi [.- <br />09/OS/2003 <br />PG10309-006 <br />I. All calis for inspec�ion shall be matle 24 ho�,r, in advanr,e - phone (425) 257-f3810 <br />2. All work shall be performed in accordance vnlh Ihis permit and current City of Everett Desiyn and Construchon <br />Standards and Specifications. <br />3 Call Localion Underground Service 48 hrs. before you tlig. TOLL FREE PIUfdBER 1-800-424-5555 <br />4. Concr�te debri� to be Lcoken to a masimum uf 12":c12" �ize. <br />5. Yrovide erosion aontrol 33 O1C2�:Y.ed by the Public 4ioek;; in�FF��toe: <br />o Key�� sr�aets �:lean ar_ all rime�. <br />7• kemovu any unsui[3ble debcia as diructed by the Cod� r��pliance Department.. <br />I rl� �� /. <br />� �� <br />;� <br />0�' 1�S <br />- � G��`�,.`�•�h�---��(� 3 - <br />� �l� br Cpnslrutlion D��e <br />� FINq� WSPECTION <br />�ppiavetl as Conslmcletl Dote <br />09-OB-03 11:OOAM <br />ti 309006 <br />OTHER «.50 <br />T�TAL 2�.50 <br />A OM441� <br />$22.50 <br />C I�EK <br />ACKNOWLGDGEMENi OF CONDITIONS <br />6r <br />WL <br />r <br />V J <br />W <br />O <br />Z <br />0 <br />�� <br />vI <br />� <br />� <br />The unUer;igneA ownedapplreanl hcreUy agiecs b hold and <br />savr, harmless Ihr, City o� fverelt Irom any antl o�� cliim; lor <br />tlamaqes, r.o;l;, r.rpr.nses, or r.au;r.s ol aclion Ihal may ansc <br />�P.CdUSP. O� �(1SLfI�d��0f1 dfl� fTidIOlClldllGB pi II1P IR1nfOVBfi1Bf11 01 <br />olher nqh4ol-way u.^,e hereto apphr.d lor and lurt�er agrees to <br />remove same upon noLr.r im ny and lo replace puhhc <br />pmp Aart � d Ihereby <br />9' �"�� <br />Si AppliC. � Ddlr <br />WGRK I�IJ�lIpqICEO F7Y THI i PEHMITldUST OE STAflTED VJITMIN 160 D�Y.`: OF D�TE FEFj�1T IS ISSIIED AIJf) iHLHFAFiF9 IS IO Bf_ f71�IGENR.Y PURSUfU <br />W CO� 1P1 GiION iHiS P[R�d1 f MAY UE CANGEUID [3Y 7HE CITY UPGN AHv S7pPP�GF OF wORK ON iH15 Pf70JLCI OVCl1 90 DAvS �URAtiD�J <br />