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PUB�ic woRKs <br />PERMIT <br />PUDLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evemtt, WA 90201 <br />(425) 257�PB10 <br />OWNER NAME �I1rDL ���VE <br />ANDnDDRESS�. <br />2218 HIGHLANL� AVE <br />�F�Tr wn ���01 <br />rHorve ?066176228 <br />TAXPARC[LID.M �OSQlII(II��U���)II <br />OESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />APPLICANT NAME <br />ANDAODRESS: <br />Date , 'r '����" <br />PublicVlorksPermitM py0507-036 <br />Building Permd p �•� <br />G o5o7-oLL <br />Planning Relerence k <br />Public Works Fee 5 S 0. 0 D <br />Guarantee 5 <br />P�oNE: TO POSTING....�.i,�..SY..Q�.... <br />�.:i8 HIGHLAYD AVE <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be peAormed in accordance with this permit and currenl City of Everett Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />9. F,e��isr p.Fe mate�ial foc sid� sewr undec piopose�i gara9e to me l�nifocm Plumbin_� <br />�.,de. Pi,�mbina a,ide�i to I��oiid�ro� ;:ec�rit. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />r <br />W <br />F— <br />'�A <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />F- <br />� <br />a <br />The undcrsigned owner/applicant hereby agrees to hoid and <br />savc harmless thc Ciry ot Everett Irom any and all claims tor <br />damages, costs, ezpenses, or causes ol action that may arise <br />because ol installalion ana maintenance ol the improvement or <br />other right•of-way use hereto applied tor antl lurther agrees to <br />remove same upon notice trom the Ciry and to replace public <br />w erty damaged Ihereby. � <br />`�- <br />� — 1l <br />Sign ie ol A�phcant Date <br />WORK AUTHORIZED flY THIS PERMIT tdUST 13[ S7aNTCD wITHIN Ioo DAVS OF DATE PERMIT IS ISSUED AND TNEREAFTER IS TO BE DIUGENTLY PURSUED <br />70 COMPLETION. TIIIS PEPh1lT hL1V �E CANCGLLC� [3V THG CIiY UPON ANV STOPPAGE OF WORK ON TMIS PROJECT OVER SC DAYS DURATION. <br />