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<br /> P���'� �O��V . _ Date � _ ��
<br /> � '•, � . � publiCWorhSPermit�wGbO�-OQa
<br /> PERNIIT �:: � _
<br /> �;-� Building Permd k ��:^OS-03[
<br /> PUBLIC WORKS'D�PAR'i�M�n7sgi�� Planning Reteience x
<br /> 3200 Cedar Slreet
<br /> Everett.wA yo201;�-F j� �"y(p�� 7, Pub6c Works Fee$ c c �,u
<br /> �azs)25�ee�?. f:",L c-
<br /> Guaran;ee 5
<br /> i F�,..ru. ._,t_ .
<br /> ORRJCfi NN$. �� �� APPLICANT NA1dE'.
<br /> AND ADDRE58+TF]�RH��36E MEF,L.':iHIFiLE� �;��� AND ADDRE$H;�i ((i
<br /> iF� '�_ LF,F.CE tdT � �i� ����-� ��,
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<br /> <�- � _ _
<br /> �"oNE: 9257439617 � C�' E�. PHONE T`:' �
<br /> f_l'i.` i'�C 1 '
<br /> TA%PARCEL ID.# r'P��E�F_AnDf3FF '
<br /> OpS.F�ar._;i:. !L �.�n Lv�.:: 2t:yS:� ?�\�
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<br /> PERMITCONDITIONS -'.'= - - 1� � L`' "'" �•-', "- . :-.
<br /> :.hY.r.. '.0 Dti
<br /> 1. All calls for inspeclion shall be made 24 hours in advance - phone(425) 257-8810
<br /> 2. All work shall be performed in acr,ordance with ihis permit and curreN City of Everett Design and Consiruction
<br /> Standards and Specilications.
<br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555
<br /> W`
<br /> . 1'tla iJpilLC3ti��iC �i1�C faar3C '•'1:�1 '_�lE Yll::�liC TVCLrt:: i215 u�7`_pC t,-_ ,j:.^.�.��:g ' „rll''_" _
<br /> . {-" �"'"�' " �
<br /> .i_ainag? Louting piiue to beginninry the p��jec2.
<br /> � . Install ecesion conteol IL�}3�UC�?E aa determin�d by the Yublic Woeks inspect�:��
<br /> ` -ndy, 425-�;9-74U3) , such as silt fence, stiaw Lales, svales, ac �rosion Ular.�:e� :: . m
<br /> Remove ecosion �:entcel mea:ucea upun complPtiun of 'he t'��:ject peioe to fin3: O
<br /> ',�,i_,coval of the peimit.
<br /> � . :,11 excavr,ted matexisl fcc�n fi�im�:tation, 31i1E�M31R and dcivEvr,ys shsll t� Aauled c '
<br /> ,:; aripceved, oecmitted ^:iL:. Ne wasting uf material i� alluwd eh this bullding 1�•'_ .
<br /> . 1:O t"�1LY� T'.IC�: C��r'}::.' CL"� ���':�L'1� 2.0 t:� LC�aCF:u�I _�IitU CCtB(��•:3}�. Z
<br /> . i�_ i;u�l�i:n� .. .r:.cia�s � . l,e .,ta,.ked :m .., ie•�ali; ami .._,ieW.aiF:s . _ �. _ i;�pr ,i�an ,n; O
<br /> I _ �Cc (,•. <i: :;tC:y:: tt ]v2�. ,
<br /> , ` L � 'I c ..0 �� t�lCEi� Sr.L -1,� �8'('—,2t�i,� /�17 �,a' ���•SC �' � FY ��1� '..n
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<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> � /� The undersigned owner/appiicant hereby agrees to hold and
<br /> ^ _ / .c•aY7y 5 � n�. save harmless the City of Everett irom any and all claims ior
<br /> � o��• o�Constmd�on �, damages.costs,expenses.or causes of action that may aiise
<br /> / ��� � �_ because ol insiallai�on and maintenance o�the improvemeni or
<br /> -7 other righl-obway use hereto applied lor and lur�her agrees to
<br /> <'�- � `G�, L / remove same upon nouce trom Ihe City and to replace public
<br /> FINAL IN CTION property dama9ed thereby.
<br /> �OP�ovetlasConsiructetl Dale ^'—'—��_—�'�_
<br /> -----ILJ.�-vC� -
<br /> S�gnawre ol Appl�cant Oate
<br /> YJOI7Y,AUtHORIZLD f3V THIS PFRId�I G1UST 13C START[D WITHiN 180 DAYS OF DATE PER?AIT IS ISSUED AND THEREAFTER IS W BE DILIGENTLV PURSUED
<br /> lU i,UL1PLL I IqN 7HIti PERtd!1 L1nY(dC CANCEIJ CD f3Y 1 HF G�iV UPON ANV SiOPPAGE GF WOI7K ON THIS PHOJeGT OVEH 90 DAA S DURATION
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