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� l..11i.;_:�,,,r, ` <br /> P����� ����� Da�e � <br /> ..;�us:�-o�i <br /> PERM IT Public Works Permit�� . <br /> c :5:::-;��� <br /> Buildmg Permit k <br /> PUBLIC VJORKS DEPARTIdENT Planning Felerence N <br /> 3200 Cedar Street <br /> wq, ^ �r,� � � � Public Works Fee 5 S l.'i.�.�,i <br /> E�azsl�si-�i2�OSTIN� � <br /> Gu:ran�ee 5 <br /> OwNEfi NAbtE^�r ' � 1 v Anp�ICANT NAIdE <br /> At1UADDRE39,ffi /i4� �;��. �T ki n NE f�t10ADDhE55�. <br /> LA}CE STEVENS i+h 9��S�i <br /> r voNe: 4252940d0�i a��oNe <br /> lAX PARCEL ID.M PqOJECT ADDRES$�.���y MELV:ii Ai'`b MLGT :' <br /> �� c <br /> DESCRIPTION OF � <br /> P(70POSED WORN�. <br /> - :.t:i _ �..! �. �..�r.i� r . i: � ..-it+- �... <br /> PERMIT CONDITIONS <br /> 1. All calis for inspection shall b�made 24 hours in advance -phone (425) 257-8810 <br /> 2 All work shall be perlormed in accordance with this permit and current City ot Everett Gesign and Construction <br /> Slandards and Specilications. ' <br /> 3. Call I ocation Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W�. .:��.�.d � .� 9�C5 ),NYI�11_LP_f�. 3H Zp11�7 ;39 9UCCplJlli 111� �i���.. C .. .... ALP I:�.`t� 11"�)drLi"��. � <br /> � . C.-.nn :t �' �_i:. 4..�_:. �•.� Cit.1 ��tan fac•.l M'., �i.il �_.i��,{ �.,: 4. <br /> � �/� <br /> V/ <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � � � / 7 The undersigned owner,applicam hereby agrees to hoid and <br /> ,�s l! �7'�..li� /L �(+ C'% save harmiess ihe City of Eve�ett irom any and all Waims lor <br /> nppr ,t br Constmction D te � damages.cos�s,expenses.or causes of action ihat may arise <br /> �, because Dt in tallation and maintenance ol Ihe impmvement or <br /> ///� i � other right-al�� y use hereto a�plied to�r/and luriher agrees to <br /> ` '�`� "�L L�`- 7 � � 'remove same oR o�ice Irom�he City�a nd to rQ�lace(�U bhc <br /> FINAL INS =CTION � property dam ed Ihe y. � � // � //� // <br /> Approvetl ConslrucYrd Dale � �/ 1 � L'-(/ �j <br /> � <br /> ' S�gnaWre o ADpbcanl Dalc <br /> IVOHk AIi7HU�al7C1�f3V 1Hi5 pCRM11'1 tdll5l �E S1�R1EU 1NI11UN 180 DAVE OF D�TC PEFMIT IS ISSUED ANO THEFEAFT[R IS TO 8B DILIGENTLV PURSU6D <br /> 10 COIAPLf_�ION 1H15 PLHldll �dA'i RE CAWGEI LLU PV 1HE CffV UPON ANV STOPPI�GE OF WORK ON THIS PROJECT OVER 30 DAYS DURATION. <br />