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puB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTM[NT <br />3200 Cedar Strect <br />E;425��2`�'�B�bSTING....�u�� z � Zoo� <br />APPLICANT NAME <br />1605 N W SAMM7�MISH kU, iTE 107 qp7D ADDRESS <br />ISSAQUAfi 981127 <br />PHONE: <br />TAX PARCEL LD. u SITE DEV. FOR <br />PHON[: <br />PROJECTAD�RESS'. <br />Dote <br />Public Works Permit � <br />Building Permit a <br />Planning Reference # <br />Public Works Fee 5 <br />Guarantee 5 <br />9/20/2005 i <br />PW0509-026 <br />510,299.7? <br />DESCRIPTION OP I (� ��J <br />PROPOSEDIVORK: ('-L 7�GS `-I{f(L�.;C�. �[�; <br />PERMIT CONDITIONS <br />1. All calls for inspeclion shall be made 24 hours in 2dvance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current City of Evereti Design and Construction <br />Standards and Specilications. <br />3. Call Localion Underground Snrvice 48 hrs. belore you dig. TOLL FREE NUMBER 1•800-424-5555 <br />4. PEk APPFOVED FLAP�S <br />, ., ,._.. ..___ �..:., - , .,- �_ ,_.. <br />�. "ria.: . ; 'y..i ' JCnS2A 1r.�. �� -�a:�.c� u; <br />' f IT ( =l � 7� <br />15 - I Y r '). C"t � J' .y <br />f�l '•'1 .�' � !�I � 1 ( . •�1 1 1 'l <br />_ � . ..� , r+y }; . . . . • <br />-. :�.i-_' <!] <br />Y,J . <br />b3 <br />.^, <br />L�� <br />J <br />:� <br />r l��S) <br />r� si _ ar �r, <br />ci�� � � �an- ' � . : �.. ' <br />C� I- If �'•� l tT �Il J J+ '�C1 `J <br />.1[T �SJ� _ tTA� 1"� '4 C>�f\I\t C� t� � <br />t 15. V��t4 � .� � ntT1� �1�'- c <br />� <br />_l �1 �_iF�� � ..f.�1-,� . .ai��l ..1 _ .. . _ ��lY_.. l�� I <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />1� <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />Y / <br />O <br />� <br />The undersigned ownerapplicant hereby agrees to hold and <br />save harmless the City of Everelt imm any and all claims lor <br />d. iages, cost,. expenses, or causes ot action Ihat may arise <br />e ause ol installation and maintenance ol Ihe improvement or <br />oth r righl�ol-�vay e ierete applied for and further agrees to <br />ttem ve same upo n ice from the City and to replace public <br />{�Op.rry damaged t reby. ' ^ . <br />� � � r <br />Data <br />V!O(iK AUTHORI7F:D BV THIS P[RIdIT F1UST B[ STARTGD WITHIN iB0 DAYS GF DAiE P[RMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br />TO COh1PLETION. TNIS PERMIT IdAY BE CANCELLED OY TNE CI7Y UPON ANY STOPPAG6 OF \1'ORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />