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0 <br />PUB�ic wo�Ks <br />PERMIT <br />PUOLIC WORKS DEPART'+1ENT <br />3200 Cedar Street <br />Everett. WA 98201 <br />(425�257-B8�o PosTinc o�T 1' <br />OWNER NAME �- � � r' E7AF�!!LD APPLICANT NAME <br />ANDADDRESS: 8���? �41`j� rL HE FNDADDRESS: <br />MAkYSVIi.i.E IJh 96��D <br />PIION[. =60C+S10�08 vi�oNe. <br />TA% PARCELID.0 <br />DESCRIPTION OF <br />PROPOSED WORK� <br />Date <br />Public Works Permit M <br />Building Permit p <br />Planning Relerence % <br />Public Works Fee 5 <br />Guaramee S <br />PROJECTADDF7ES5. 7��14 MCDi�U&aL Ab'E <br />/ <br />5!27/2005 <br />PWO505-035 <br />C0505-03b <br />-- Li�T� 25 d::6, BLcXE 474 <br />PERMIT CUNDITIONS E��TT <br />1. All calls lor inspec�ion shall be made 24 hours in advance • phone (-025) 257•8810 <br />2. All work shall be performed in accordance wilh this permit and current City of Everett Design and Consiruction <br />Standards and Specifications. <br />3. Call Localion Underground 5ervice 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-0243555 <br />4. C_.�m'rt ...:,_ .,=��•c �-�er .:*.y St3r��:r,i rt�r r:�.�l� b0�, i�!?4. <br />.. ���.-�r�r„'�t :�]1 r.`..��;t.-�F, :r,,;nsp,-�ui,. .. th.. _;,.�.. ,,.:w�.=c. <br />- ��� <br />���t��� - lC <br />pprovetl lur C nsiruclion i�r <br />� 1. <br />_�� � Ll i ' . �' ' �� _ ;� �', :` <br />FINAL INSPECTION� <br />Appmvetl ns Conslmcleo �" Date <br />,_. �- ,.. ,_. ,_. �-. <br />;�s''.`-�'-:':F`�, ��� <br />'� ���� � <br />_ . , ... <br />.. y_, <br />.'�����,��r���yr.�r <br />..•^J:_ � _.i-io 0 <br />_a>- : - �-��- <br />k25.00 <br />:; <br />5=' <br />��; <br />k_' <br />FL�T ,_,p <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owneuapplicant hcreby agrees to hold and <br />save harmless the Ciry of Everett Irom any antl all claims for <br />damages, costs, ezpenses, or causes ol action that may arise <br />because of inslallation and maintenance of the improvement or <br />other iigh!�obway use hcreto applied lor and further agrees to <br />remove sa upon notice irom Ihe ity and to replace public <br />property da aged thereby, /� ,� <br />% r <br />i <br />2�,���uL �� C Ul�� C�.xv� E' J�. �� <br />SignaW�e ol ApplKanl Date <br />'� <br />\'10RN nUTNORIZED DV THIS PERAtIT h1UST DE STAHTED \NITHIN 180 DAYS OF OA7E PERMIT IS ISSUED AI:D THEREAFTEF IS TO BE DILIGENTLY PURSUED , <br />70 CO�dPLETION THIS PERMIT �dAV �L CANCEILPD �Y THG CITY UPON ANV STOPPAGE OF WORK ON THIS PFOJECT OVGR 90 �AY'S DURATION <br />