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I - <br /> PUBLIC lNORKS Date ; =-; -��;,- <br /> Public Works Permi�tf"�""'' -'�. ':�-� <br /> PE R M 1 T Building Permit fl <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> EveretL WA 98201 Public Works Fee 5 ��'� ' - � • +- <br /> (425)257-8810 <br /> Guarantce S <br /> O�YNER NAAIEhLTER FSOF:4'I}; APPLICANT NAME <br /> ANDADDRE�Sjl� EAST LA1':�'SHCt.0 DF, ANDADDRESS: <br /> LA}^' STc":`F.".i5 _ _�':_ <br /> PHONE: PHONE: <br /> TA%PARCELIA.a PROJECTAODFiGSS <br /> OESCRIP710NOF;r(' _� ��i,. •„ <br /> �ROPOfED WOFlK� <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3. Call Localion Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800•424-5555 <br /> �. _. .. ..:- �-- -......, W <br /> r <br /> � <br /> ._ -=� - m <br /> HTry a'i O <br /> . �''S'�z c=, <br /> :T � <br /> r� ±. <br /> ,^ � .. � <br /> i..'� � O <br /> �uia � <br /> .����Gr!1�—p�� O] � <br /> �T`��FON� '��� � <br /> � �1.� � . . . . . � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned owner,'applicant hereby a9rees to hold and <br /> �-.��.,�;:�.�—��/�'C�c�� save harmlass ihe Ciry of Everetl irom any and all claims for <br /> npprovca lor Cons�mctior Data dama9es,cosis,expenses,or causes ol action that may anse <br /> . because of installation and maintenance ol the improvement or <br /> other righ4of-way use hereio applied lor and luriher ac�rees to <br /> G /� —� remove same upon notice Irom;he Ciry and to replace public <br /> �� S�F] � property damaged ihereby. <br /> App�ovM as Con�,uucled Dale <br /> 9 �,�, ��1�� - ��i fr �� <br /> ���- Z�� Si n0lureol 6G1n1 Date <br /> IVORK AUTHORIZEDl3Y THIS PER�1R I.tUST F3E STARiFD IVITHIN �90 DAYS OF MTF PER�IIT IS ISSUED AND THEREAFTER IS TO BF DILIGENTLV PURSUEJ <br /> t(i CO�1PI L11ON 1HI5 PER611T h7AY�F CANGELLF.0 DY THE CI7V UPON ANV STOPPAGE OF WOPK ON THIS PROJECT OVER 90 DAVS DUFATION. <br />