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�:i�i:.�l�� �/ <br /> � ���V��� ����� Date ?WUS� �_0;5 <br /> Pub'ic Works Permit#-"�f�°-�-`'� <br /> PEFtMIT Buildin� Pcrnnt u <br /> PUdLIC WORKS DEPARR�IENT Plai ning Referencc u <br /> 3200 Cedar Siree -�-- • � - <br /> Everett.WA 9820� Puhiic Works Fee 5 <br /> (425)257�881G <br /> Guaraniec o <br /> iA}CEL'nND H!Y�S IN�= <br /> OI'JGERIJ�I.¢Q Bl�:: �QH APPLICANTNAME <br /> ANDAUDRESLS�— �,I�,.VENS G.A �BG58 �NDAD�FiESS: <br /> tlf(h <br /> 92535677G7 TO POSTING ....M!�R...'..�..�oo� <br /> PHONE: PHONE: <br /> 0039660G0008f! �.���s � �.<� '�t �rr � n ya <br /> TA%PARCELI.D.a}(E(� HOUSE (SFF. I!ETi\CHED) P�OJECTADDRFSS�. <br /> DESCRIPTION OP <br /> PROPOS[D WORK: <br /> ' � _ ^t(�^}' f�i��(l_ ] n� „!:`yt <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shali be made 24 hours in advance � phone (425) 257-8810 <br /> 2. All work shall be per(ormed in accordance with Ihis permit and current Ciry of [:erett Design and Construdion <br /> Standards and Specilications. <br /> 3. Call Loca�ion Underground Service 48 hrs.betore you dig. TOLL FREE NUMBER i-800-424•5555 <br /> �i. �"'i7111eCC .�.l�ia ;yLh?C j)t'C f:lt}' $t311ddC�1 �I�9 Cfil� t;�l„� f,�ll�. � <br /> S. rUI1n2rL 811 eooft-v�� JOVII�$�i�lltS 2i� 211� SlC�r 3_'�:�=1:. <br /> �•. 1119Yd11 t�COSll�ll C411tC01 IUP2SUC�8 fl�J det?emined t+y tl�r t'�i�il?�: Wi�LL:;: ii1S�)�C^i�C {FiC�: ^ <br /> 4_5-339-79031 , such as silt. fenee, stcar• bales, swales, o� eeosion b!ar.l;�ts. ���� <br /> 7. A catch basin as pec City itandaed Ylan d'402 �+ith 3 i739 tcsp pee St317d3C�j Y13q aA?�' M <br /> is iequiieci fr,L th�= shaied :1itv<. �_me only) W <br /> O <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ` � The undersigned owner'applicant hereby ac�rees to hold and <br /> \���,���� J.^/ (�:�« ��� /j�S save haimless Ihe Ciry of Everett from any and all claims lor <br /> npprov r construcaon � Dale damages.cos15.erpenses,or causes ol action that may arise <br /> � be�ause of�mstallation and maintenance of the improvemenl or <br /> Z other right-ob.vay use hereto applied for and lurlher agrees to <br /> '.,` � O remove sama upon no�ice Imm the City and to replace pubLc <br /> FINALINS TION pro�e y�magec:;�ereby/ / <br /> Appmved a ons�mqed Daie \ —� ( ,/J a � <br /> ��� �i�i v i —-��— <br /> Signnture al Apphwm Date <br /> 1Y(?fih AUiHOR17[�F3Y THIS Pf RL1IT IdU57�E STARTFL1lVI7Hlt1 tP0 DMS OF DA7E PER1.11T IS ISSUED AND THEFEAFTER IS TO BE�ILIGENTLV PURSU[D <br /> IO COIdPLGiION illlti PEf�.1.9i t.74V P[CACCGI L[D GY THE CIiY UPON ANV STOPPAGE OF lYORK ON THIS°ROJECT OVER 90 OAVS OURATION. <br />