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PUBLIC WORKS Date 4����Z002 <br /> PublicwodcsPermita PW0204-04d <br /> PERMIT BuildingPermitN B��04-011 <br /> PUBLIC WORKS DEPARTMENT Planning Reference M <br /> 3200 Cedar Street $4 0. 0 U <br /> Evcrett,WA 98201 Public Works Fee$ <br /> (425)257•8810 <br /> Guarentee 5 <br /> OWNERNAME 1 SU �: APPLICANTNAME <br /> ANDADORE55:73��r� 71�T UR SE ANDADDRESS: <br /> WOODINVILLE WA 95072 <br /> PHONE: 4�S S 7 O E+O h H pHONE: <br /> TAXPARCEU.D.M 00593669501300 PROJECTAODRESS: ,�,Cj1J PINE S'r <br /> DESCRIP710NOF LOADING POCK <br /> PROPOSEO WORK: <br /> PW <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance-phone (425)257•8810 <br /> 2. All work shal;be performed in accordance wilh ihis pennit and curreN 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 /> 4 . A� p�r ap�ur�v�-•�i p'_:�u da1 ��c1 4;'�::;0� . W` <br /> r <br /> �'A <br /> V+ <br /> W <br /> O <br /> � <br /> ` �� e 0�4-?3-02 0204011 Z <br /> ,` ��� 181q.� O <br /> / q �7 02040 t� <br /> � � FW/INSF �0.00 r <br /> PW/FVW 20.00 � <br /> I��� Ce ' � TOTAL 225.75 (� <br /> � �,� CHEF: 2?'li5 <br /> /��7 <�%// A OM765? LL <br /> l, � /(� <br /> /.J � 2 3�� <br /> / ACKNOWLEDGEMENT OF CONDIT;JNS <br /> G �'), � The undersigned owner/applicanl hereby agrees to hold and <br /> (�!i save harmless Ihc Ciry ol Everetl irom any and all claims lor <br /> Approved br Constmction Da dama�es,costs,ezpenses,or causes of action that may arise <br /> because of installation and maintenance ot the improvement or <br /> other right-o4way use hereto app�iad lor and fuAher agrees to <br /> remova same upon notice irom the City and to replace public <br /> FINAL INSPECTION property damaged thereby. <br /> Appmved as Constmcied Daie <br /> f�91''u. .�. - z .n-L <br /> n'aWreolApplkam Date <br /> WOf7K AUTHORIZED BV THIS P[RMIT MUST BE START[D Wi7MIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTEP IS TO BE OILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THt CIN UPON ANY STOPPAGE OF WOfiK ON THIS PROJE�T OVER 90 DPVS DURATION. <br />