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. _, _ . __. . . __ _ ,,,. . __ <br /> PUBL��: WORKS ( �a�� 4/22/2002 <br /> Pub�icWorksPermitx PW0204-04d <br /> PERMITBuildingPermitM B���a-oll <br /> PUBLIC WORKS DEPARTMENT Planning Reference M <br /> 3200 Cedar Street $40. 00 <br /> Everetl,WA 98201 Public Works Fee S <br /> (425)257•8810 Guarantee 5 <br /> OWNERNAME L _ APPLICANTNFME <br /> ANOADORESS:�37�g 7SST DR SE ANDADDRESS: <br /> WOODINVILLE WA 9807:. <br /> PHONE: 4 25 8 7 06 O 5 8 PHONE: <br /> TAXPARCELI.D.M 005936G95U1300 PROJECTADDRESS: z91h FINE ST <br /> DESCRIPTIONOF LOADING DOCK <br /> PROPOSED WORK: <br /> PW <br /> PERMI'I"CONDITIONS <br /> 1. All calls(or 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 current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Cal� Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4 . As per aPPe.�ovt�a I,l�an dated dj2'3/02. `W <br /> r <br /> '�A <br /> V/ <br /> W <br /> O <br /> � <br /> 04-:'3-02 3'SSFi1 <br /> � 0�04011 Z <br /> `����I� i°�'� O <br /> �� o�o t� � <br /> FU/IHSP ��.Op <br /> rw;ir� zo.r�o (/� <br /> z�or�u zzs.� - ^ <br /> a_F i��� ��}�); <br /> A (N17652 � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ��. n �'�1 C/i _ �/��I/-17 The undersigned owner/applicant hereby agrees to hWd and <br /> (�,(,�}� Y� �,(�� VG. save harmless the Ciry of Everefl irom any and all claims for <br /> npprovea Ior Construc�ion Da�� tlamages,costs,expenses,or causes ol action that may arise <br /> because ol installation and maintenance ol the improvement oi <br /> olher right-ol•way use hereto applied for and further agrees to <br /> remove same upon notice irom Me Ci�y arW to replace pub�ic <br /> FINAL INSPECTION properry damaged thereby. <br /> Appmvetl as Conslmcted Dale V�. <br /> _ _ L��"i.�(_`� y� S/%' ,,'�l <br /> Signature ot Applicant Dale ' <br /> WORK AUTHOR12ED BY TIilS PERMIT MUST BE STARTED WITHIN 180�AVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT A1AY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />