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To ���tING—• 1-�°02 <br />PUBLIC WORKS PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Stre�t <br />Everett, WA 98201 (425) 257-8810 <br />Date 7-2-99 <br />Public Worka,Pertnit N "r 1 � <br />Building Perinit M C9907-008 <br />TYPE OR PRINT ONLY ' Public Works Fee 3�.D� <br />Juat Rite Const PO Box 2043 Everett WA 98203 425-308-3179 <br />Owner Mailing Address . City Zip � Phone <br />Owner <br />App�icant Mailing Address Ciry Zip � Phone �, <br />Describe Proposed Work <br />PROJECTADDRESS (if known) �'v' <br />Attach lour (4) copies plans lor proposed work • Draw to scale and note the following if applicable: <br />• Property Lines • Outline an� dimenslons ol all existing and proposed slructures on Me tot • Existing and proposed utililias <br />• Centerline of street • Indicate North • Show any proposed gredi�g changes • Show meesuroments <br />DO NOT WRITE BELOW THIS LINE <br />PERMIT CONDITIONS: <br />1. All calls for inspection 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 <br />Construction Standards and Specitications. , <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. <br />W <br />� <br />� <br />� <br />1� <br />� <br />� <br />O <br />� <br />� <br />4. �� 5� s� 5 Piz�� ���� p <br />C, (� " 5; de s�x•� �N.►' s`�d �I�h �C�o I,�02 #�6� M N a. <br />e�, ,�s�{,�r� �� ra�s�ed Ir� <br />� . P�,1.� dr�vec�r��r w� <br />m� � �.,��;,.� �� e�e of- ( ���+�►e�� -fo d��v� /ra�f+G <br />�-a�,d waw� ,�v,� o-�, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undereigned ownerlapplicant hereby agrees to hold aM save hermlesa <br />the �Iry of Everett from any and all clalms tor damages, costs, ezpenses, or <br />causes of action that may arise because ol installation and maintenence of the <br />improvement or other rightol•way use hereto applied lor end fuMer egrees M <br />remove sam pon notice irom the Ciry and ro replece publb property dam- <br />aged the <br />� �-�- ( <br />i na u o p ican a e <br />WOFiI(AUTFIOH�D BY 7HIS PERMR RUST BE STAFifED WITHIN iBD DAYS OF DATE F'ERMR IS ISSUED AND Tl1EFiEAFfER IS TO BE DLICaEN1LY RIRSUED TO <br />COMPLEf10N. THIS PERMR MAY BE CANC�lID BYl1iE CIN UPON ANY STOPPAGE OF VYORK ON T}NS PFlOiECT OVER 90 DAYS IXIRATION. <br />