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/ � /� <br />i/ V� <br />., � J <br />�. <br />. <br />PUBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPART�dENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />(425) 257-8810 <br />O'NNER NAIdE APPUCANT NAME <br />ANDADDHFSS: CHASE 'iY�DD A LEONA ANDAODRESS: <br />19=7 WE;T MIh.ILT'EO BLVD <br />EVEFETT WA 98203 <br />PHONE: <br />7A% PARCEL I.D.M <br />DESCRIPTION OF <br />PFiOPO5E0 WORK: <br />PNONE: <br />Date <br />Pub6c Works Permit C <br />Building Pcrmit .� <br />Planning Relerence a <br />Public Works Fco 5 <br />Guaranloe S <br />0041%lOOOOQiO1 IPRQIECTADDRESS: S92% W FIUKILTEO BL1RJ <br />'IREE REMOVAL fi ADL�L GEi� TECA SITE WOR}C - NO GRApIN6 AC7'IVI7T <br />?�5!^nn7 '� <br />ywn70n_nnl <br />SITE IS AfTUAT.LY YROPERTY ACCROSS TFff: S7Ra"ET--Cn}�IFMIN6 APDRE5S- <br />-OW17ED r�- �-ur.r� �-f���t`�c.--P.W:rEL NIAU'_EI' IS riiir4171nni�iiqap1 <br />PERMIT CONDITIONS <br />,_5,i1f1 <br />t. All calls lor inspection shall be made 24 hours in advance. <br />2. All work shall be perlormed m accordance w•ith this permd and cwrcnl City of Everett Design and Constiuciwn <br />Standards and Specilicalions. <br />3. Call Localion Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 W <br />.. Peovid= 'ra:fic control per the MI�TCli a�i' thu Public Wor};� inspector'a inatructi_n � <br />�. Keep City steeets clean at all times ,A <br />_ V� <br />I t�ELIC POA.KS INSPECTOF. - RATJDY ALLEN 925-339-7403 T, M <br />� Y.1 <br />- -� T O <br />r�; <br />, -; � <br />Z <br />:a <br />O <br />:� � <br />- V� <br />- O <br />a <br />ACKIJOWLEDGE"AENT OF CONDITIONS <br />The undersigned ownedapphcan; hereby agrees to hold and <br />save harmless Ihe City ol Everett Irorr. any and all claims lor <br />damages, costs, expenses, or causes of action that may ariso <br />because ol installation antl mainlenance ol Ihe imomvemeN or <br />other nght•obway use hereto applied lor antl lurther aorees to <br />remove samo upon notice �rom the City and �o replace p�trlic <br />prop da d iereby. <br />-► 3 -o � <br />SignaWre ol Appikam Date <br />WORKAUTHORIZED BYTHIS PEFMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUEOAND THEREAF"fEF IS 70 BE DILIGeNTLV PUHSUED <br />TO COMPLE710N. THIS PERfAIT MAV BE CANCELLED BV THE C.ITY UPON ANY STOPPAGE OF WORK ON 7HI5 PROJECT OVER 90 DAYS Dl1RA710N. <br />EPWP p,D61 �AiAOAR. INC. <br />