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, <br /> PUBLIC WORKS °a1e �;1'',°°5 <br /> PublicWorksPertnita Fa05pq-0:6 <br /> P����� Buildmg Permil p <br /> PU[3LIC WORKS DEPARTMENT Planning Reference k <br /> 320o Cedar Slrect 51, 532.50 <br /> Everett,WA 98201 Public Works Fee 5 <br /> (425)257•8810 Guaranlee 5 <br /> OWNERNAME 5510 MukEHc.�USE Gk. SUITE ?OU APPLICANTNAME <br /> ANDADDRESS: ANDADDRE55: <br /> SAN UIEGi� CA 92121 <br /> BFBo�ti8.35 <br /> PHONE: PHONE: <br /> TAXPARCEU.D.p CLEAFSNG, GRP.DINI'+� �lJID EF.OSIC �C��li'1}il�.'�+RESS: <br /> DESCRIPTION OF <br /> PROPOSED WORK: <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 wi�h this permit and current Cily of Everett Design and Construction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUIUIBER 7-800-424•5555 � <br /> a. PEk A?PkU`JED YLAtt:i DAi'F.G �I-13-�75 <br /> 5. rLE.�F:IN�3 , �=RaDING, AND Ek0iI0N CON'IRJL ONLY � <br /> �'A <br /> �, �� V/ <br /> r---�-•~ -r�-� � <br /> �j . <br /> R..� -_.�'i'!m"1 O� <br /> r'CZ � O <br /> ._ �.,4; r <br /> � �� � � <br /> , , r _ <br /> C ��'��_; � <br /> C" �,� _�-; <br /> t., m O <br /> l.:� r�i <br /> ��>l.') �:r: � <br /> . PVm�n�n.•> " �/� <br /> `��� ���' _ V/ <br /> ,,��;� � <br /> �O - .- .- _., O <br /> ;;, <br /> � .�, <br /> - ��� a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � / The undersigned o�vner/applicant hereby agrees to hold and <br /> /� r,�2.��-OS save harmless the Ciry ol Everett from any and all claims lor <br /> npprZo 'T Cons�mcuon Daie� . damages,costs,ezpenses,or causes ol action thal may arise <br /> � because o�installation and maintenance of lhe improvement or <br /> / �[ 2 � 7 other right-ol-way uso herelo applied lor and lurther ayrees to <br /> � - � .` T / / remove ne pon notice o he City and to replace puhlic <br /> FINAL INSP�CTION/ propC �her Y <br /> Appmved as Constm[Ietl Date /� i���� /Z �� <br /> a�� Date <br /> l'�O�'�K AUTHOHIZED�V TNIS PEfiMIT MUST BE STARTED WITHIN 100 DO,YS Of�ATE PEH'AIT IS ISSUED AN�THEREAFTER IS TO BE DILIGENTLV PURSUED <br /> TO CO!dPLETION 7HI5 PcRN1T MAY�E CANCELLED BY THE CITY UPON ANY STOPPAGE OF�YORK ON THIS PROJECT OVER 90 OAYS DURATION. <br />