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1�%?7i2005 <br /> PUBLIC WORKS Date <br /> F'vI0G12-039 <br /> � � PERMIT PublicWorksPermil@0512-042 <br /> Building Permit# <br /> PUBLIC WORKS DEPARTMENi Planning Relerence p <br /> 3200 Cedar Street 525.OG <br /> Everett.WA 98201 Public Works Fee$ <br /> (425)257� 810 ,JUL 1 0 2006 Guarantee t <br /> � r r <br /> T�! PQSTING <br /> OWNER NA�S 177•TF: AVE NE APPLICANT NFME <br /> AND ADDFi �ND ADDRESS: <br /> �Ni�HOMISA Wh 992�0 <br /> 425216�410 <br /> i <br /> PHONE: PHONE: <br /> •. � � : t:�\'. T�`. i�i\T •�� <br /> w-avrc <br /> rnx i�naCe�i.o��W H���GE PROJECT ADDRESS: � <br /> UESCRIPTION OF <br /> PROPOSED WORK�. <br /> �b <br /> �'•i : _il� <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance- phone(425) 257-8810 <br /> 2. All work shall be performed in accordance wilh�his permit and current City o(Everett Design and Constr��ction <br /> Standards and Specifications. <br /> 3. Call Location Undargro�nd Service 48 hrs.before you dig. TOLL FREE NUMBER t-800-424-5555 <br /> W <br /> �i. COIIIIBCI: CO!�ILC�� �jCWtl: �)o':r; t�_ i.!l� �::.Jll:3{J�3 U}:�tZ[p �)CQV1�jP_�j Y.00 thl: IOL, � <br /> :, install eiusic�n �:-vnt _ol ie�.a:ucc•s p�i City of Ev�Lztt 5t.3f�diCil3 fOC small uacc•els . � <br /> E�. ��'IQOVC @C031011 CQIILG•il U1t'd�UC�-i V�i�:ll COI[��?lE':1Gi1 Of *�le IiC�iIECY �JC1GC L�: flildl. <br /> app��,val of thr �•e.mi? . m <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> �, ._�< ,�o Zoo6 � 0 <br /> �aN z a <br /> C11�YrnitSvv'�c sIC <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> / /� The undersigned owner�applicant her=by agrees to hotd and <br /> �' • C Ni L�f�' save harmless Ihe City ol Evercll Irom any and all claims lor <br /> nppr ed ror Const��f /p L damages.costs.ezpenses.or causes ol ac�ion that may arise <br /> because ol instaltalion and mainlenance ol Ihe impmvemenl or <br /> � other ric�ht�of-way use hereto applied lor and luriher agrees to <br /> �� remove same upon notice Imm Ihe City and ro replace public <br /> INS -��� �� �� .z _�G, property dama hereb . <br /> ApOmved as ConsUudetl Dale �� / G l7��J <br /> SignaWre o�Appl t Oale � <br /> WOFR AUIHORIZED BV THIS PERM1IIT MUST BE STARTED WITHIN 180 OAYS OF DATE PERMIT IS ISSUED AND THEFiEAFTER IS TO�E DILIGENTIV PURSUED� � <br /> TO CL`A7Pt.[TION.THIS PBRMIT A1AV BE CANCGLL[D�V THE CIT1'UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. �,./� <br />