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PUBLIC WARKS <br />PERMIT <br />PUBLIC WORKS DrPAFTMENT <br />320D Cedar Streel <br />Everefl.lNP.98?O1 <br />(425) 257-8870 qpk � 8 <br />1'0 POSTING ......................_ <br />OWN[RNAME y,yff}�� SHIN INVES71�tENTS <br />ANDADDRESS: <br />'0503 SE _1ST <br />SAFAiW4I5H WA <br />PHONE: `�=5'�8733Qb <br />TAXPARCELI.O.# 'BOQS?OO�OI�O <br />OESCRIPTIONOF ,'(EI? F�Ti5T1, P.IlILf17F;f- <br />PROPOSED WORK: <br />PtRMIT CONDITIONS <br />Date <br />Public Works Permit q <br />Auilding Permit N <br />Planning Relerence u <br />Works Fee 5 <br />Guarantee 5 <br />ANUAUpHtSJ: (�[1J� + PIESCAFR pp,rH <br />PHONE: ,�n, f. vr.i;R <br />.R '-� <br />PRQIECTAODRESS: _ <br />SE� ATTACHED <br />1. All calls for inspection shall be made 24 hours in advance. <br />2. All work shall be performed in accordance wilh ihis permil and current City of Everett Design and Construction <br />Standards and SpEcifications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />:�, uE}; A.PP::!�1'LL� PL.'�.';; <br />- . � ., ,_ .- ,. , _.__ <br />l:lr,��g:c��v`3-`��c�� <br />rT�y ���� ��,� c> <br />H <br />,,, <br />,o <br />fs� f..A ff-? <br />�T !� O t�`= L—� �� <br />�.� fAC» ti�1 .c.��1 y� <br />1�� SF�=��L�iGOHG��.L H <br />.�..�o3�..e� <br />�N�`3�^o3'2�S4S��m <br />��o�?np7 <br />PQ0704-n2n <br />RQ�QQ-�IB <br />sc�o�._1 <br />;�? �� ir/.'�. r�� <br />-. <br />c <br />=3 <br />c <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicanl hereby agrees lo hold and <br />savo harmless tho Cily of Everett Irom any antl all claims lor <br />tlamages, cosls, expenses, or causes ol aclion that may arise <br />because ol installation antl maintenance o� lhe improvement or <br />ther nght-of-way uso hereto applietl lor and funher agrees to <br />r movo same upon tice from Ihe City and lo replace public <br />p pe,�ty dama ed 1 eby. <br />,,,� -� � � � - ��1 <br />SignaWreolApUlicanl Dalc <br />WORK AUTHORIZEU BV THIS PERMIT MUSTBE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEDANU 7H[REAFTER IS TOOE DILIGEN7LV PURSUED <br />70 COMPLETION. TNIS PER611T MAY BE CANCELLE� BV THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECTOVER 90 DAYS DURATION. <br />[pWp pp�) DRTRB4R. INC. <br />Z <br />O <br />H <br />O <br />a <br />