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PUB�ic woRKs � <br /> Da!e F�l��t�l��0�19 <br /> Public Works Pertnit M <br /> PE R M 1 T Building Permit M <br /> PUBLIC WORKS DEPARTMENT Planning Relerence p <br /> 3200 Cedar Street $25.00 <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 GuaraMce 3 <br /> OWNERNAME �809 Pan3V10V B1Vd APP��CANTNAME <br /> ANDADDRESS. ANDADORESS: <br /> LVERETT FA ?B?03 <br /> G25353197? <br /> PHONE� PI10NE: <br /> TAXPARCEU.�.� PROJECTAODFESS: <br /> DE�CRIPTION OF <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2. All work shall be performed in accordance with this permit and curre�t Cily of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Lxalion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-024-5555 � <br /> 9. }Ceep city atreet_s clean at. all tiaes during conatructic�n. <br /> 5. Nev dcivevay shall cunfues tu city of Evec�tt �tandae�i pla�t N307. � <br /> 6. Call tAe Fublic itorks Inspector Q 425-339-7v04 for a eeetinq prior to beginning ^ <br /> conIItCUrt1011. y� <br /> W <br /> O <br /> � <br /> � <br /> �17c'. . O <br /> _.. � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> (' � �] The undersigned owncr/applicanl hereby agrees to hold and <br /> / J save harmicss tho Ciry of Everetl from any and all claims lor <br /> t�proved�or ons;ma�o�� damages,costs,exponses,or causes of ection that may arise <br /> �e� �� because of installation and maintenanca of the Improvement or <br /> z.�-�3 other righbobway uso hereto applied br anA further agrees to <br /> 5� remove same upon notice from tt�o Ciry and to replaco public <br /> FINAL I SPECTION properry damaged Ihereby. <br /> approve0 as Constructetl Oaie s��' /O 3 <br /> Si naWre ol Applkant —�Dat� <br /> YfORK AUTHORIZED BV THIS PERMIT MUST BE STAFTED WITHIN IBO DAVS OF DATE PERMIT IS ISSUED AND THEREAFiER IS TO BE DILIGENTLY PURSV[D <br /> TO C01.1PLETION.THIS PERMIT MAY BE CANCELLED DY TNE CI7V UPON ANY SiOPPAGE OF WORN ON 7HI5 PROJECT OVER 90 DAYS DURATION. <br />