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puB�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 CeCar Street <br />Everen, WA 98201 <br />(425) 257-8810 <br />)WNER NA " � V <br />WDAD�RE3�10 OAAES AVE <br />EVERETT YA 98201 <br />PHONE: 92$�68�13b <br />PERMIT CONDITIONS <br />PHONE: <br />De�e 11,�17/2003 <br />PuWic Works Pertnit �ii0311-052 <br />Building Pxrmil N <br />Planning Relerence x <br />Public Works Fee S $=5.0(` <br />Guarantee S <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance wilh this permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-�24•5555 <br />4. A-, pec City of Everett Standacd �land M306 <br />5, Keep r_ity stce�ta cleat at all tiees dueina a�n�tcuction. <br />5. Call inspectoc P425-=59-740? f_�c a mee[iny pcioe to t.eyinning wek. <br />11-17-03 5:44FM <br />p 0311052 <br />OTHER 25.00 <br />TQTAL 25.00 <br />A OMS�i92 <br />W` <br />I"' <br />N <br />m <br />0 <br />� <br />CASF-! � <br />� <br />,1"A' <br />VI <br />0 <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned awnenapplicant hereGy agrees to Frold and <br />save harmless tho Ciry of Everetl irom any and all claims for <br />damages, costs, expenses, or causos ol action Mat may arise <br />because ol insfallation and maintenanco ol the Imprwement or <br />oMer right-obw use � re o applied for and lurther egrees to <br />removes� me City and to replace public <br />prop Ua ed Ih <br />��� �Q3 <br />Slgnawre ot Applicanl Date <br />WORK AU7HORIZED BV TMIS PERMI! MUST BE STARTEO WI7HIN 100 DAYS OF DATE PERMIi IS ISSUED AND THEREAFTER IS TO BE DILIGEN7LV PIIRS�IED <br />TO COMPLETION. THIS PERMIT MAY BE C41:CELLEO 8Y THE CIN UPON ANV STOPPAGE OF WORK ON THIS PR0.IECT OVER 90 DAVS DURATION. <br />