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puB��c woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evere�L WA 98201 <br />1425) 257-8870 <br />ANDAD�iiES�� EVy Q�_�� <br />5 NC�HC�FiISH <br />riaoNe 92523287'= <br />TAX FAHCEUA.b .'�.40 +17!1 <br />DESCRIPTIOIJ OF <br />PROPOSE� WORK'. <br />PERMIT CONDITIONS <br />W.t. . .... � i. <br />PHONIP <br />PRO.IECT <br />Date 5/25i200o <br />Public Works Permit x YWObU5-G� a <br />cobo�-oq,. <br />Building Permit # <br />Planning Reference # <br />Public Works Fee 5 ` 1' 1•"� <br />Guarantee $ <br />TO POSTIN zoo� <br />� �Lr,F.ItiE VIE4? LF. I!F+ECD <br />1. All calls for inspeclion shall be made 24 hours in advance - phone (425) 257�8810 <br />2. All work shall be perlormed in acwrdance wilh ihis permit and current City of [verett Design and Construclion <br />Standards and Sp?citications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER i-800-424-5555 <br />�i. .�18 ��:L Ci. /LC��Y�w .j.}I� '�I�I.�t �.liM :U1��i�.7 U7.=�Li:� lI!:'"C�'ti�C�: ��l�:f_��.-�?JR Oil C�lE i:?c�'. <br />i- - 1'� ! �� • 4� �.. <br />�. Si�!e sedr_i �hall Y,e as pei city of Ev�catt stam:l,id F?ans GJi, !;J� S!;�i4. <br />F. �OI11lerL �11 C�ipf'i0�' dil�) :l.iF C�1lln(f tn Y�l:- al�ji_ S�4N_C. , <br />7. Th� I;eti' �9CiVeY'ey t:i E3s� b:�[in� V1Eti� DLiv2 3h:�11 be as p?r �ity uf Eve.=t::_s,'.,nii3e:i <br />plaa _OG. _ _ :... <br />6. Tiie cucb, gurtec +, side�.raik i�npeov�ments shewn un the site ;�ian foe C1t'.N ?i3vthoen <br />��: <br />fC011tdJ<_' Of Y�115 pL•.�posnl AC� ❑OC B i'lt}' lttipo��ci C2•:3l:li£IOPIIt Jf this i�u\ml�,ptn•_i�t. Si <br />is re�:ommendFd th�t the d=_�;elol�ez w.>:� to it�:rall `h�.=,e impeo�ement� ',:nt:l [h=_ F'�:'_ <br />i}3L'1RE' J1eW ��L1V2 110F�1"O�'eTi2ll� F,:p]o_:t. }:3� t;oal: "�I!iF.�l`_'.iE'il ... Ci:ir `}7'= :.F��Jl�;3f1:.�' . <br />� •... r i > ' � �-,e� `q_ y 'I�,�tlt <br />LIf1(�CO'/et�'lli '=3❑ 4�3L.:�1 .�le UJ lf0.dir ill�]I1I7Bfli OL Y(lc' Ld9� ?QiC3.ile il' GC1V@'•.1IRL�D.iy< <br />�hich Nill h<,ve a cuil� ��tucn c�ntc� Havth-vin. If the ,:le•a�li�X�ei w•isne; to �icce:•„ with <br />t�7P 110(:'C07?IPPIIC� dC ?I115 tilP@ �]ZE'3�E C�Jlltdl't ji��p $pnQ lil r�15 ��iC}��� Elli7il13�',C117C <br />p:,pacta:ent at 9::� -25'1-9E'�''? :o ._.:�ociclinate. _. f.;`. .. <br />j �� <br />I-!i <br />�(//YV�"(�, _7— � 3 —D <br />opwv or Con<tmclion Date <br />��� � �—�' �� <br />i n� iNs nora <br />Appwved a> Cons�mctetl Dale <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />� <br />� <br />O <br />a <br />The u��dersigned owner'applicant hereby agrees to hold and <br />save Parmless the City ol Everetl irom any and all claims for <br />damages. costs. expenses, or causes ol action that may arise <br />because of ins�allalion and maintenanca ol tlie impmvement or <br />other righbolavay use here�o applied lor and luriher aprees Io <br />remove same upon notice Irom the City and to ieplace public <br />property damaged thereby. <br />��������� <br />SignaWre 1 AppliCanl Dato <br />WOHK AU1110RIZ[[7 [3Y THIS PERIdIT PdUST BE SiARTED WITHIN 700 DAYS OF OATE PERIAIT IS ISSUE� AND THEREAFTER IS TO BE DILIGENTLY PURSUE� <br />TO COIdPL[110tJ tl IIS PERM1117 M17AV BF CANCGLLEO �Y THE CITY UPON ANV STOPPAGE OF 1YORK ON THIS PR0.IECT OVE9 9� OAVS DURATION. <br />