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/ <br /> - � PUBLIC WORKS Date b/?0;2005 / <br /> PublicWorksPcrmitp �QOSOb-027 <br /> PER��T r_osos-osa <br /> � . . . Building Permit a <br /> PUBLIC WOP.KS DEPARTMENl���. -- � � Planning Reference M <br /> 3200 L'edai Street �-� �- ' <br /> Evcretl,WA 98201 Public Works Fce S $2 S.00 <br /> (4251257-BB70 � . -. �� :�" <br /> � - - Guarantee S <br /> OWNGRNAME D�P.ONSIY TATY�INA S IIIP.�i �PPLICANTNAME�.. .��. <br /> ANDADDRESS: 1Ji3? MEF;IDIhN A1B i : � ANDADDRESS� �� <br /> E"�.�TT "h� "s�°5 T4 P!1STING ocr z 4 zoos <br /> rHONE 360f537028 rHONE: <br /> 7AXPARC[LLD.a 003B6a000OS.'�.OU � PROJECTADDqESSi��" lOi�r' Pff'.TiIDIAN AVE <br /> DESCRIPTION OF � � "I �j; j ^;.;'. <br /> PROPOSEDWORK. � ' ` ' � <br /> PERMIT CONDITIONS <br /> 1. All calls (or inspeclion 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 Cily ol Everett Design and Construction <br /> Standards and Speci(icalions. <br /> 3. Call Localion Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 9. Mainta_n 9' of nledc�an•::� aLound fic� hydrant ducin� conatcuction W <br /> 5, ronnect cooft�p doanspouts to the deainage aystem peovid.�i foe r.��la lot, or catch r <br /> � <br /> hasin fcontina ihis Ncrpeety ,A <br /> u. Install eco�ion contii�l �aeasuies per �ir.y of Eveeett Stanclaids foc small paicels V� <br /> �. kBIGpVE P_Cfi910❑ �7qI1`C�Pi. 51N3.`.UCr_:: 4�?O❑ �.`pm�Jl�Clutl pf t�113 �,C..�].�r7C �?Clp[ tp f1031 M <br /> appi�_�v;l oE th� ��eimtt . W <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> r � / q The undcrsigned ownedapplicanl hereby agrees to holA and <br /> ((7 G� � � save harmless the Ciry ot Evemtt from any and all claims br <br /> pproved lor Consimcuon a�e damages,costs,expenses,or causes ol action that may arise <br /> because ol installation and mainlenance of the improvement or <br /> ��� ��� olher righbo'-way use hercto apphed for and further agrecs to <br /> /. �_ remove same upon notice irom tlie City and b replace public <br /> ALINSPECTION � propertydamagedthereby. <br /> ApprwM as Conslmcled Da�o y <br /> �� -�s-vE <br /> ���- U� O �'/- o,r- <br /> SlgoaWre ol ApDlicant Da�e <br /> WOPK AUTHORI2E0 BY THIS PERMIT MUST BE STARTED WITHIN 180 DAVS CF DAT[PERhllT IS ISSUED AND THER[AFTER IS TO BE DILIGENTLY PUFSUEO � <br /> 10 COIdPL[TION.THIS P[RMIT MAY DE CANCELLED�V THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. � <br /> I< <br />