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PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />32M Ceder SbW <br />Everod, WA ga2D1 <br />(425)257 <br />Dab 4/-?*Wi <br />PWticWorks re"eR0Q'03-sce3 <br />euilorrtgPei o a ,dMV3-035 <br />PWrting Rslerenoe It <br />Public Wake Fee $ Z l zj& - <br />Guarw e s 350 4•*0 — <br />I ND ADD"(W s: Pri nma 6, �p avv* <br />S'S: -Ye,Mn i cr f"t. <br />2510 µ i f n IVZ Ave, <br />14zo Arnow+ 4-+- A" <br />�erek�gS2o <br />Ewrr�dF, ufa q&of <br />PHONE: <br />PHONE:71r1 <br />PHONE: <br />- &(08 <br />- <br />TAX PARCEL I.D. <br />PROJECT ADDRESS: Z6 10 R (Cl 1FLAiN0&e <br />DESCRIPTION OF <br />PROPOSED WORK: r(vn,/..�4n •IN M..,yMQ <br />L <br />(,��7w �YkM <br />r <br />PERMIT CONDITIONS <br />1. All calls for inspection shall be made 24 hours In advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 14W424-6555 <br />1, Ar5 pG✓ rye' -" _ _ P S C ECG! '¢ /-7/ o7-23-00 <br />if <br />BUILD <br />Approved f#Uwstructson Data <br />-FINAL INSPECTION <br />Af,roverf as Constructed Data <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN I90 DAYS C <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLFn BY TH-CITY U.\AN ANY <br />SRCLIG <br />4 <br />OTHER <br />PW/RVW <br />PW/il9"nP <br />SEWER <br />4 <br />WATER <br />I-OTAL <br />1.1:30 1 <br />0003035 <br />1.045.55 <br />4.50 <br />0003063 <br />1.44.00 <br />640.00 <br />1322.00 <br />G007009 <br />30.00 <br />i683.'9 <br />1427.00 <br />4633.05 <br />A OMS609 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />U) <br />co <br />O <br />003 <br />The undersigned owner/appkant hereby agrees to hold and <br />sP+e harmless the City of Everett from any and all claims for <br />damages, costs, errpenses, or causes of action that may arise <br />because of installation and maintenance of the Improvement or <br />other right-of-way use hereto applied for and further agrees to <br />Xmovs w,perysa d ro from me Cory 7 to7wwe "ic <br />�Qc <br />9S ISSUED AND Th AEAFTER i5 TO BE DILtueNTLY PURSUED <br />WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />