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. � PUBLOC WORKS Date 8.'17/2004 / <br /> Pu61ic Works Parmit a PW0408-01C <br /> P�RMIT �wldingPermita C040B-019 <br /> PUBLIC WORKS DEPARTMENT � Planning Relerence a <br /> 3200 Cedar Streel <br /> Everetl,WA 982D1 Public VJorks Fce S 5?5.00 <br /> ''z5,25'-�(3 pOSfING DEC 2 2 20 4 �uaraniec5 <br /> O�YNER NAME CRIST ELLEN 6 WILLIAM �PPLICpNT NAM[ <br /> ANDAODRESS: ANDADDRESS. <br /> 19::9 173RD .ST �W <br /> LYNNWWG dA 98037 �\ <br /> PHONE: Q,�,S]QZ9S�Q PHONE: <br /> TA%I �RC[LI.D.M 0093?15500�700 PROJECTADDFiGSS�. 791� 1�T1}�$ �1� <br /> UESC�IPiIONOP ��,a,�^c fNCB09-Olu) <br /> PROPOSED WORK: � <br /> Cffi�NGED Tu "C" PERMIT FR�t P0408-017 TO INCLUDE PlII�IDING <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance - phone (425)257-381( <br /> 2. All work shall be performed in accordance wilh thi;permil and current City o( Eve�ett Design and Construction <br /> Standards and Speci�ications. <br /> 3. Call Location Undergiound Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 _ � • <br /> W <br /> 4. Replace side �evec under buildin�7 footprint to meet UPr, ionnect ci:oftop �jown � <br /> spuuta to side sevec (U0408-009 ale�ady issued) . � <br /> � <br /> � � � <br /> /�` ` '�. , "'� <br /> ��� /� GrG���� � �n 7 <br /> ' l '� � <br /> ������,<<��� � ��� ���;" � �� C �� . � <br /> �� ,�I��� � �� �c�"'`d � <br /> i �� �. ����. 1� , d���'��� � �' � <br /> �,,-, S � ,� ,, 1� „- �, <br /> ° a <br /> � �t „ � I � c <br /> � ��p� <br /> �� .� <br /> I/�' ACKNOV�'LEDGEMENT O� CONDITIONS <br /> The undcrsi�ned avnecappllcant hereby n�rees to hold antl <br /> c: j' 8 ��(' Q save hmm�ess the City of Everet�Irom anv and an claims for <br /> Appr6vM torGons�f cuon D e damac�es,cosis,erpenses,or causes of az'on Ihat may arise <br /> ��- ' because of mstallat on and inaintenance of u•e ir rovement or <br /> � l ; . �____. <br /> oihei rign4obway u;c hereto applicd for and ludher agrces to <br /> ��' i < , �� remcve same upon i..i;ice Irom�he Ciry and to replace puhlic <br /> FINAL INSPECT.�N pro rty damaged thereby. <br /> npn�o�en as Con;tmc�ea oatc �_�_�� /`� ��� � r 2 S/�'`� <br /> � « --- <br /> �Z'L{i� S�gnatwe ol Applicarn Dale <br /> �ti:Hrc nu7�.inRiZC1.�Y THIS PERAt1T MUS7 BE STARTED WIThI"11�0 DAVS OF GATE�eRM�7151557E0 AND THEREAFTLfi IS T��3E�ILIGE�tiTLY PUASUEO I <br /> i0 CU47�I.f7iOG 7MI�Pf.R�dIT L1AY Pf:CnNCELL[D AY THE CT. lir0"1 ANY S70PPa �.0 OF VJORK ON THIS PRDJEC7 OVLR 4!UAYS DUPATIGN. ,/� <br /> ! . <br />