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PUBLIC WORKS Date b/17/20U5 i <br /> Pub�ic Works Pnrmit M pp0506-022 <br /> PERMIT Building Permit N <br /> PUBLIC WORKS DEPARTMENT Planning Reference q <br /> 3200 Cedar Street <br /> Everen,WA 98201 Public Works Fee$ $0.00 <br /> (425)257•8810 Guarantoe$ <br /> OWNERNAME Real Eatate Alesainu APPLICANTNAME <br /> ANDADDRESS: ANDADDRESS: PI11L1P LEtttJ <br /> 4815 117th PL NE S31�P <br /> ICirkland Wa 98U33 <br /> PHONE: ?O6QO?bliOO PHONE: 4,'+.58"�25444 <br /> TAX PARCELI.D.M PROJECTA�ORESS: <br /> 1319 E ldarine ��' v <br /> OESCPIPTIONOF on emne ui ing <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls(or inspect�on shall be made 24 hours in advance- phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specilicati�ns. <br /> 3. Call Location Underground;,'ervice 48 hrs.before you dig. TOLL FREE NUMBER 1-800•424-5555 � <br /> 4. Applicant shall use caution vhen enteeing and e:citing t.he building. <br /> 5. This pecmit t.0 entec is unly goo�i foe one day, Juna ;.7r.h 2005. t�ork ahall be doua � <br /> ovei a periud of appeoximately 2 hc�ucs. N <br /> 6. The buildina must be ceaecured aftet this wock is complete. � <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � � Thc undersigned ownedapplicant hereby agrees lo hold and <br /> � �y� � �7 S save harmless Iha Ciy oi Everetl from any and all claims br <br /> �" ppmvea br Constmc�ion aie damagas,costs,expenses,or causes ot action that may arise <br /> beca 1 installation end maintenance ol the impn�vemenl or <br /> , / � ���edr�-f . oth righ f•way use hereto lied for and turther agrees lo <br /> V .� �r��� CDhf 0 /fi N!r re ve o on notice fr the City and to re lace blic <br /> FINAL INSPECTION � pr rty ' m ed ther r <br /> Approved as Constructetl Date <br /> Si ture ol Appf nt Da1e <br /> WORK AUTHOR12ED BY THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.TI115 PERMIT h1AV BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURATICN. <br />