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PHONE: <br />TAX PARCEL I.D.N <br />DESCRIPTION OF <br />PROPOSED WORK: <br />Pus��c woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cetlar Street <br />Everett, WA 98201 <br />(425�:" "" <br />!,1.� <br />_'_' `T=.... ..._ .-. . . �. . . <br />• �, `r.'i : _ . . <br />PERMIT CONDITIONS <br />oe�e <br />Public Works Permit X <br />Building Permit # <br />Planning Re�erence M <br />Public Works Fea $ <br />Guarantee S <br />API �. ICANT NAME <br />ANDADDRESS: ��•rcr <br />PHONE: <br />PRQIECTADDRESS: <br />_- - _ / <br />pc*nc.l,: —_ <br />1. All cal�s for inspeclion shall be made 24 hours in advance. <br />2. All work shall be performed in accordance with this permit and current Ciry of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />_ : �...'.��.... -_�:: �---::-���_ �:<.L. _:�::-��_ _i::�� . qu:._�.- ��. . _ :� � ..:at'-` - -.. ..__ _ . <br />.��] GIt-5i_= 4L' �]•i�7UC✓_Ilt3`iC❑ tt;LL:7i �)r= �iC!JVl���a 5114�%1R�] L113t [0!r: �����7.�g 3�: �ii=,_. .. <br />the adjoining iot to th.- n��eth. <br />TecNs� tc� rhe parking �sF:,�cFs insic!.= the qacago mn�t he p:+v�d tt�m thc• a3:.:._ ..- <br />«F._ .�ara�,.: ,����;.. <br />� . . . .� -. .. �. . . , _� : , _: t. �.�: .-.i:, ;n�i �.-:i`.• Ue;_�1.� ._�.�i �ConsCeuc`::.. <br />,i�,U,._ �,J !/t.��'.Pc`�cir Ia �Rnc�7 /�i�t��` ��S .�/�- 7jY/3 <br />� <br />lor <br />)f��L� <br />� <br />FINAL WSP TION <br />ApProved �' Conslrucled <br />/ 2/:� <br />Data <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tho undersig��ed owner/applicant hereby agrees to hold and <br />save hartnless Ihe City ol Everett Irom any and all claims lor <br />damages, costs, ezpenses, or causes oi ac�ion tha� may arise <br />because ol installation and maintenance ol the improvement or <br />other right•of•way use hereto applied lor and lurther agrees to <br />remove same upon notice from the City and lo replace public <br />property damaged thef`Bby. ! <br />�,v4�j�:� izfzz /o <br />SignalureolApplicanl �ale � <br />WORN AUTHORIZED DY THIS PERMIT MUST DE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUE�ANO THEREAFTER IS TO BE DILIGENTLY PURSUED <br />\TO COMPLETION. THIS FERMIT MAY BE CANCELLED BY iHE CITY UPON ANY STOPPAGE OF WORK ON THIS PRQIECT OVER 90 DAYS DURA?ION. <br />. CVWP17/061 DAT�BAR.INC. <br />, <br />W` <br />r <br />� <br />N <br />W <br />O <br />� <br />Z <br />� <br />� <br />� <br />� <br />a <br />