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I �. <br />/^/�J <br />,��� <br />Pus�i�: WORKS <br />` PERMIT <br />PUBLIC WOFKS DEPARTMENT <br />3200 Cetlar Street <br />Everer„ WA 98201 <br />(125) 257•8810 <br />2505 SfiCOND AVfi. SVITE 3 <br />Sfi11TTLE W)► 98121 <br />rrwNit: ( 206 ) 728-4560 <br />TAXPARCELI.D.� <br />DESCHIPTpN OF $ <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />CLISJ1RIfQG 1►AID GRADING <br />PMONE: <br />� ;B iu�ii/2ooi <br />PuWic Workn pemw� w Pw0110-012 <br />9aiaa,y Permn � <br />Planning Reference w <br />Public Waks Fee S 9 � 19 • SiD <br />Guarantee t <br />PROJECTADDRESS: �C I�RRILL CR. PRKY. <br />1. All calls (or inspection shall be made 24 hours in advance • phone (425) 257-8810 <br />2. P.II work shall be performed in accordance with Ihis pertnit and current C!ty of Eve+ett Design and Construction <br />Standards and Specifica!ior.s. <br />„ 3. Call Location Undem,round Sevice 42 hrs. be(ore you dig. TOLL FREE NUMBER 1-500-124-SSS5 <br />4. PnR 1\PPROVED PLAN DhTfiD 10-3-01 <br />, <br />r� <br />FINAL INSPECTION <br />ApproveA as Consiructed Date <br />ll-20-01 11:38AM <br />A 0110012 <br />an�Ea zoo, oo — 8N <br />or��x zoo.00 - 9M <br />OTHER 319.50— � P <br />l-OTAL 719.50 <br />CHEK <br />A OM5689 <br />\ <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />� <br />� <br />0 <br />7 <br />Z <br />719l�P <br />V <br />� <br />� <br />0 <br />a <br />The uMersigned owner/applicant hereby agrees to hold erd <br />save harmless Ihe City of Everetl han any und all daima lor <br />damages, costs, expenses, a causea ot actla� thet may e�ise <br />because ot installatlon and maintenance ot the improvement a <br />other rightof•way use hereto epplieA for entl IuMer agrees to <br />rertwve same upon notice hom C�e City and to replace public <br />Pro!p/e.hy damaged ther/e�by. <br />�' ( 2�(.GC) f✓" �i1/►„' �l/aU� <br />Sgnature ot Appli:anl Dah <br />WORK AUTHORIZ[D B1' THIS PERMIT MUST BE STARTED WITHIN 180 DAVS OF DA1E PERMI" IS ISSUED AND TMEREAFTER IS TO BE DILICaENiLY PURSUED <br />TO COA'PLETION. THIS PERMIT MAY BE CANCEILED BY THE CIT' UPON ANV STOPP�GE OF WORK ON TMIS PROJECT OVER 90 DAYS WRIITON. <br />