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Pus�ic woRKs <br />PERMIT <br />PUQLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Everett, WA 98201 <br />(425) 257-8810 <br />OWNERNAME <br />nNonooaess� p*Rr,EY LOESANG <br />2804 GFAND AVE STE 305 <br />EVERETT Wh <br />arioNe: 9259929500 <br />fA% PAPGEL IA.N <br />�Q��QIE+1 <br />APPLICANT NAME <br />AIJD ADCRESS: <br />�8201 <br />PHONE: <br />DESCRIPTiON OF <br />P�orosEowoaK: PAV£ P),RI{ING L�T IN BACY, <br />PERMIT CONDITIONS <br />Date <br />Public Works Permil N <br />Bmlding Permit # <br />Plenning Reference # <br />Publ c 1Korks Fee 5 <br />Guvrantee 5 <br />/ <br />Oo!:'0/2007 <br />pW0706-0?5 <br />5107.00 <br />T� PQST��G MAR 1 s onR <br />PHUIEGTNUUNE55: <br />1. All calls (ur inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current City ol Everett Uesign and Construction <br />Standards and Specitications <br />3. Call Loca�ion Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800d24•5555 <br />9. CI':�IL COhS4'hPCTION WOFK TO 3E DONE PER PLAN APPROVF.D Otl 7-10-07 (COPY AIPACFIED) <br />G 1T��f�.::_�L.i.T::- ��::.T.{L P.E D�,dl^ {.TG DITH TTiLD���I�'`l VV T44' !`=TV Df11V1fTf:.q. .II.A+D:�. <br />. . - rn <br />re--�• <br />__ v '� 'i <br />�i <br />7+�3�� <br />Date <br />.�� -�,�, <br />DTte <br />� <br />� <br />a <br />...; �. <„ � <br />�� :;�3�� <br />.-:o� -'? <br />� <br />i� <br />W` <br />1"'� <br />r�� <br />V/ <br />� <br />O <br />Z <br />O <br />� <br />� <br />a <br />I ACKNOWLEDGEMENT OF CONDITIONS <br />I The undersigned owner/applicant hereby agrees to hold and <br />save harmless Ihe Ciry ol Everett Irom any and all claims lor <br />damages, costs, expenses, or causes of action that may arise <br />because ol inslallation and maintenance ol Ihe improvement or <br />other righl-ol-way us�s hereto applied f�r and further agrees to <br />remove s me upon not�ce from lhe Gry and to replace public <br />pro rty maged thereUy. <br />Siana �. nl A�nlJ�ahf . �� ���. � D� <br />WOfiK AUTHORIZED CY THIS PERMIT MUST DE SiARTED WITHIN 780 DAVS OF DAT[ PERMIT IS ISSUED AND <br />TO COIdPLETION. THIS PERMII MAV �E CANCELLED �V 1 NE CITV UPON ANV STOPPAGE OF WORK ON TMIS <br />I PWP R tv.'. <br />IS TO BE DILIGENTLY PURSUED <br />R 90 OAYS O�RATION. <br />DATABAR. INC <br />