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/ <br /> PUBLIC WORKS Date p_ _� r,i,�i�; <br /> PublicWorksPermit# c;,i;r,;_-,:�^' <br /> PERMITBuildingPermi�# - _ <br /> PUBLIC WORKS DEPARTMENT Planning Reterence k <br /> 3200 Cedar Street <br /> EveretL WA 98207 Public Worl.s Fee 5 --- <br /> �nzs�zs�-N877An (+Tp�(� FEB 2 0 20 1 t-, , � <br /> I l/ I�Ot71IIVU............................. .. GuaranteeS <br /> OWNER NAM i z.,_ _ APPLICANt NAIdE <br /> APIDADDRES�F,'' v•I'�.�bIF.'ii S _ .^i�TF.'1'.=T:�!�R A�IDAODR[55: <br /> 192i F.�iCP;_F. AVE <br /> ��.��� Yi+. c�:�_liJ, <br /> PHONE: y_5�3�I�i8_ PHON[�. <br /> 7A%PARCEL I.D.M PFOJEC7 ADDRESS�. <br /> 00437g7:30i��;pfl ' src :',r a ur r <br /> D[SCRIP�tION OF <br /> r�r�oaoseowoartNE4' :RFLEi: i�.as�� <br /> PERMIT CONDITIONS <br /> t. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br /> 2. All work shall be pertormed in accordance with Ihis permit and current City of Everett Design and Cons�ruct�on <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FHEE NUMBER 1-800-424-5555 � <br /> r <br /> Y. �'ppp:.r" "�.13 $�tA?L ic•L '�1=Y $tdlC�31'd�P t,l'1?� �ii.;'� �:�t'�Q. ��/� <br /> - , �'_011l?ECt: all 1�00fCO�i �lf.Wll:i�.w1UC`J Y�� C�l@ Sl�j� S�W�C. {i/� <br /> r,ll exravated material fiom foun�iatinn, sid-rvnik and � . �.%:; r 7� i } .u7 1 � _ M <br /> � .-I����-.yui� �...��r ;ttp�� S]t�?. �i,- _;tlfl ! ��f ... . ._4� 1^. _ . _ _ ..Il ..._. �: ...._a':❑ _ " . W <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> N <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> , . � The undersiqned owner/applicant hereby agrees to hold and <br /> • �+ �Ci save harmless Ihe City of Everett Irom any and all claims lor <br /> n v o Cans�mcuon D ie damages,costs,expenses,or causes ol action that may arise <br /> �;�� because of installation and maimenance ol the impmvemenl or <br /> // ` other iight-ol-way use hereto applied lor and further agrees ro <br /> G„_-j1 '� � �l� �^ remove same upon notice Irom the Ciry and to replace public <br /> FIFlAL INSPEC ON pr er a thereby. <br /> Approved ns Ca�istructr.e Da:e �7��� <br /> �—� <br /> Signatu ppl¢an Date <br /> l;'ORN AUTHORIZED f3v 7HIS PFRLIIT IAUST B[STARTED WIiHIN iPJ DAVS OF UA7E P[R1d1T IS ISSUED AND TH@REAFTER IS TO BE DILIGENTLY PURSUED 1I <br /> I�'�['O!.1PLF i IPN il II� i'f R���i 1.�.1v PF G1i,Qf-!11=f1 BY THL CITV UPON AflV S10PPo1GE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. � <br />