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, - <br /> PUBLIC WORKS Date J2i22!2GOE <br /> PE R M 1 T Public Works Permit# p��0 02-D�o <br /> BuildingPermit# COEO�-031 <br /> PUBLIC WORKS DEPARTMENT Planning Relerence# <br /> 3200 Cedar Stroel <br /> Everett,WA 98201 Public Works Fee$ ,,; ��� <br /> ' ''(425)257�8870 ^I/� [n <br /> I � POJ I IIVU..FLI�...�.'...0..�..,7 GuaraMeeB <br /> OWNER NAM APPLICANi NAME <br /> AND ADURE�RO DEVELOPHENT 6 rONSTRIICTT��1! AND ADDRESS: <br /> 182o RUCY,Ek AVE <br /> EVERETT iTA 582U1 <br /> PHONE�. q�S23Z1a8�� PHONE: <br /> TA%PARCELI.D,p PROJECTADDRESS: <br /> o �si i ;nr , <br /> PROPOSED WORKIIEEI� DUPLE:{ (G(E�m) <br /> PERMIT COND�TIONS <br /> 1. All calls for inspection shall be made 24 hours in advance -phone (425) 257-8810 <br /> 2. Ail work shall be periormed in accordance with ihis permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Gall Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> W <br /> H <br /> 4. Connect side �e��e pee City Stsndatd'� r01, oU::, 60A. � <br /> 5. Connect all c���ft�oF• �04179FwUT]g ta r.he siJo aNs+e� . � <br /> 6. Al1 e%C2VhCZ� r�steii-sl fi,:n fnundation, ::ti�lFvsl� and d�ivevaya shall b� hauled to <br /> ;n appcoved, I"enitted :r�te. N�, ��nting nf �ateeia_ z� all��+.�'_ on this b�.iildi.ig lvt. m <br /> O <br /> � <br /> Z <br /> C� <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / <br /> The undersigned ownerlapplicant hereby agrees to hold and <br /> save harmless the City of Everett irom any�nd all claims for <br /> n v a ior Construcu� Oate damages,cosis,expenses,or causes ol action Ihat may arise <br /> because ol installation and main�enance ol ihe improvement or <br /> Z� ' / /O� other right-of�way use hereto applied for and lurther agrees to <br /> (�� remove same upon nolice Irom Ihe Ciry and to replace public <br /> FI AL IN ECTION E pro�cty.dama reby. <br /> Appwved as Consimcted Date \\�����— l ? -� �� <br /> \�}�3. <br /> S�gnatu oi Appliwm Date <br /> WORH AUTHORIZED BV THIS PEIiMIT A1UST BE STARTED WITHIN 1B0 DAVS OF OATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUF.D <br /> 70 COMPLETION.THIS PERh11T MAV BE CANC�-LLE�BV THE CITV UPON ANY S70PPAGE OF WORK ON THIS PROJECT OVER 90 OAVS DURATION. <br />