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PUBLIC WORKS °°'° a,�"�°���. <br /> i�ERMIT PublicWorksPermita F�„5�,�_.�,„ <br /> �uilding Pcrmit k <br /> PU�LIC WORKS DEPAR7MENT Planning Relerence a <br /> 3200 Cedar Street <br /> Everen,lVA 98207 Public Works Fee 5 �a� ��� <br /> (425)257-8810 <br /> Guarantcc$ <br /> AONDADDRESS: MECClli Cceek Holiliny:: iLC nr�io DORESSME Harald fhxistensen / Lan�e hill•3 <br /> 600 Univecsity St 13ii Lakeazde, Snit•� �5ii <br /> Seattle •�ra Seattle wa �r.l<:: <br /> PHONE: <OGb13Sj��5 PHONE �O6':�$'�5(i-? <br /> TAXPARCELI.D.M PROJECTADDRESS: <br /> u30i1 M�[[ill CieeE: fa_i:wav <br /> OESCRIPTIONOF E�t=1�1E BX1�t1O�7 �>3f .11li7 ��t <br /> PROPOSED WOfiK� <br /> Fe�`riF�e existing full size : t: ::s ._ c:c+t� 11 nev �:c::.cac:r - c,ill;. <br /> Convect axistim� �irop-off zcne t,� cceate 10 ne�.r ,:cm�•arr : �,, <br /> .ta__, <br /> _ • � � _ <br /> PEFMIT CONDITIONS <br /> 7. All calls tor inspection shall be made 24 hours in advance-phone (425)257-8810 <br /> 2. All work shall be performed in eccordance with Ihis permit and current City of Everett Desiyn and Construction <br /> Standards and Specilications. <br /> 3. Call Localion Underground Service 4D hrs. before you diy. TOLL FREE NUMBER 1-800•424-5555 <br /> 4. F_"il: tc b. done p._. appCOVc,! i�13n :tte. B;'/(I�. :F'}' 42C9._}lErn � <br /> � <br /> �� <br /> � <br /> W <br /> �, S O <br /> G7 " C;' <br /> z ,., � <br /> �.; Z <br /> � <br /> '' O <br /> �. � <br /> T1�OM v+ <br /> a ry�n O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ! `� O The undersigned ownedapplicant hereby agrces to hold and <br /> � � +� Ot�' � �7 �` �.s savc harmless the Ciry ol Everett Irom any and all claims for <br /> Ara�o tor Consimcuon .te damages,cosls,expenses,or causes ol actlon ihat may arise <br /> .-�, � because ol installalion and maintenance ol the impmvemeM or <br /> I [ � � other right-obway use herelo applied lor and further agrees to <br /> � L "� 1 1���,',`�-`\-�� �' l,I �" ove same upon tice from lhe City and to replace publlc <br /> FINAL INSPECTIOly! (�- prop rty tlamaged the by. <br /> Approvetl as Conslmcted Oate <br /> ,qGo�✓� ,c„2 � g�.r�5-�S� - <br /> �� Signawre ol ApDhcaol Date <br /> efORK AUTHOR2ED BV THIS PERMIY MUST BE S7ARTE��VITHIN 180 DAVS OF DATE PEHh11T IS ISSUE�AND THEREAFfEfi IS TO BE DILIGENTLY PURSUED <br /> 10 C01.!PLETIOK. THIS PER1.117 M11AV�[CANCRL[D OV 7HF.GTV 11PON ANY STOPPAGE OF WORK ON THIS PROJECTOVER 50 DAYS DURATION <br /> I I <br />