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- PUB�ic woRKs <br />PERM1� <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everetl. WA 98201 <br />(425) 25i b810 <br />)WNER NAME ELS� M.ISCE E �PP� <br />1NDADDRESS�.q039 OCEAH AVE tiND <br />Ev�E�rr wA 4a2o3 <br />PHON[. <br />tnx rnr�ce� i o K 00571� <br />DESCfiIPTION OF ATTFCJ <br />PROPOSED WORK. <br />PERMIT CONDITIONS <br />PNONL. <br />PROJEC7 <br />Date 1/9/2006 <br />Pub�ic Works Permi� x yQ0601-004 <br />Building Permit N <br />Planning Reference N <br />Public Works Fee $ <br />Guarantee $ <br />sosiz-o�e <br />TQ Pf�STING ocT � � zc�s <br />i. All calis for inspection shall be made 24 hours in advance - phor.e (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and current Cily of Everett Design and Consiruction <br />Siendards and Sp�cifications. <br />3. Cail Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />�3. F.�,,,fr._.�;. .��:wn:p�;o•: ma; be �licerred 'pla:h hl�>rks <br />/f��0 <br />j � % <br />� ✓,,., �.�-�� /r �c• r• E <br />NALI PECTION / <br />Approved as Corislruded �ale <br />y2O.00 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />II <br />W <br />H <br />� <br />N <br />m <br />O <br />� <br />z <br />O <br />H <br />� <br />O <br />a <br />The untlersigned nwner/applicant hereby agrees to hold and <br />save harmless the City of Everen trom any and all claims tor <br />dam:.ges, costs, erpenses, or cau=es ol action ihat may arise <br />because ol inslallation anC maintenance ol lhe improvement or <br />other righl-ot-way use hereto applied for and turiher agrees to <br />remove same upon notice I.om Ihe Ciry and ro replace public <br />property da aged thexreb�L <br />� ignaWre�pliwnt � DaiJCe ' � <br />VJORM. AUTHORIZEU BV 1HIS PGRMIT MUST B[ STARTED WITHIN 180 UAVS OF DATE P^_PMIT IS ISSUED AND TNEREAFTER IS TO BE DILIGENTLV PURSUED <br />t0 COtdPIGiION. iHIS PE�RMIT IdAv BE CANCGLL[D OV 7HE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />