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PUBLIC WORKS <br />OL PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everst WA 98207 <br />(425) 257.010 <br />Date 4/-7h.100 <br />Pubic Works Permit a PJJ01003e ('03 <br />Il"VPa ae <br />PlwYrq Reference e <br />Pubic Walls Fee = Zj ZCo r <br />Gasser s • 35, 440 — <br />AND WI <br />ADDRESS: I �rl • • Si V • APPLICANT NAME <br />OWIIERME �,y •At AND ADDRESS: <br />ZS 0 µ t h lewd Ave. 14zo Hov s-� <br />L,IrrC f�� r,.J� �ISZo I 6HGrr t.I ko PHONE: PHONE: 46M <br />zsa - 6108 — IvY& TAX PARCEL I.D. a PROJECT ADDRESS: LG +'FIG t+L^# % <br />DESCRIPTION OF <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />1. Ali 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 fire. before you dig. TOLL FREE NUMBER 1-800-424-NO <br />*f. As pw Are,., pL-4. s 64a -j /-7/od <br />FINAL INSPECTION <br />Approved as Constroctsd Data <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/appicard hereb•...dro, c r., hold and <br />saw hanrttess the City of Everett kW* I -I w.l ON clakns for <br />derna9aa• Web• even. or Causes a I action that may edge <br />because of Installation and mNnbnerwe of the lalprov~ or <br />other right-of-wsy use hereto applied for and further agrees to <br />remove same upon notice from the City and to replace public <br />property damaged thereby, <br />Soistum or Applicant Data <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN too DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DaIOENTLY PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CRY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 110 DAYS DURATION. <br />