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� <br /> P����� ����� Date �l.:.i�PQn <br /> PERM IT Public Works Permil�wOb03-03.' <br /> BuildingPermi�# �Ob03-OS�� <br /> PUBLIC WORKS DEPARTMENi Planning Reference# <br /> 3200 Cedai Street <br /> EvereU.WA 98201 Public Works Fee S _ - <br /> (425)257-8810 ...." .�J 0 <br /> Guaramee S <br /> OWNGR NAME APPLICANT NAME <br /> nNo r,00a6Sg. GENEF,lI. FRAt•1ING CUNISv,��T�:�F. AN�ADDRE55: <br /> I�C� EGl: ;:91 <br /> GRAilIT'E =ALLS GA 98�5:: <br /> PHONE- �hO7B11;:+7 PHONF. <br /> TA%PARCEL I.D.p PROJE(,T A��RESS'. <br /> OI1 487;�y0f1f1 1 �.r -'tc �" - <br /> DESCflIPT10N OF <br /> �r�ovoseowonkF� FOF. NEa h;�>>i;� <br /> PERMITCONDITIONS ��:T _ S"r'CF,T fLaT 1�0�-')'v-i '� <br /> 1. All calls lor inspection shall be made 24 hours in advance -phone (425) 257-8810 <br /> 2. All work shall be performed in accordance wilh ihis permit and wrrent Cily of Everett Design and Conslruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1-B00-424-5555 <br /> W <br /> H <br /> ti. i'011:lr_��_t il�jr_ SeWbC �JNC �;1t}' IiL3I1�jdG-�j 1��5 ��ili� n�l,�'.� f,;ij�. � <br /> �. Conner.t all cn„ftop Jevn�pouta to the side sewi . � <br /> 6. In9ta11 eeo�sion ��onteol mNa,uee, a� dFt�cmin«d hy tfi�_ _ui:.:�,- s:,:ike iiir.;.�,-t�-�c , .. ,ri� M <br /> __ .:11t ,`r�nc�=, 5'r7,4r t�.;�:P'- sv�.il:. , i�r :-1',.-slcn b:,r.l:c _ . <br /> Y.1 <br /> _ _ .,L'-".:,,��.• `c�::z '.irr __ ... _ pe�;p�c*.; lima .'u`- -- `-i.'` ;r�.":.: pav�_n�:. O <br /> � <br /> Z <br /> O <br /> F- <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � / � The undersigned ownenapplicant hyreby agrees to hold and <br /> / �,� � �+ save harmless Ihe City of Evmetl irom any and all claims lor <br /> A � r Cons�mEli i aie damages,costs,expen;es,or causes ol action that may arise <br /> �� / because ol in,ta!!auon and maintenance ol the improvement or <br /> i / /� {� olher righ;�cf�way use hereto app�ied br and lunher agrees to <br /> �`�[.� � �`�'�'"� 7 �Z 91�' remn:n same upon notice Irom Ihe Ciry and to replace public <br /> EINAL INSP ,TION pmper damaged therebY. <br /> ApprOvcd as COnsiruqcd a�r <br /> ���/� �-�- --�7- ° ` <br /> n� ol Applic�nt Date <br /> 14J4K AU7HURIZGO BV THIS PERMIT h1U5T�[START[D P:i ININ 160 UAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DIUG[NTLY PURSUED <br /> TJ COPdPL[TiON THIS PEfUdIT h1Av DE CANGELL[D gy iHE CITV�;PON ANV STOPPAGE OF WORK ON 7HIS PROJECT OVER 9U OAVS�URATION. <br />