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� , d3i2��05 � <br /> PUBi.IC WORKS Date <br /> PW050a_;,�,; <br /> Public Wort,s Permit!�0 5 0 a_p Z F <br /> PE R M 1 T Building Permil# <br /> PUBLIC WORKS DEPARTMEN7 Planning Reference a <br /> 3200 Cedar S(reet .— � . � <br /> EveretL WA 98201 Public Works Pee S <br /> ,4z5,z5�-ea,a� �STING. ��.,�; '; '� zoa� <br /> Yi 1 �1;:......t:.:'•...—^..•. Guarantee5 <br /> T`+ r, u-1,<tc rir <br /> owNEn NnM1y� gnk A4S AIJD AD)a[ssM1�E <br /> ANL ADDRES� <br /> L.afiE sTEVEx:; F.. �c:.5o <br /> 42535677b7 <br /> PHONE: PHON[' <br /> TA%PARCELI.�. ,�� H'!IJ' " �_ � PROJECTAOCfiESS ! ` .` .�. y �u.. _'. ..v <br /> � E i5_r. JETAC'fC.�i <br /> nescaiaTioN oF <br /> PROPOSED WORK�. <br /> - n ^u' _nr. a-�� - 'G-'.. <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 perlormed in accordance wilh ihis permit and current City of Everett Design and Consiruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 lirs.before you dig, TOLL FREE NUMBER 1-B00-424-5555 <br /> W <br /> 4. Cunne�:t siie .9N.A3C �JEG ��1[j� $i3[1��3CQ ��9 71!1. C,li�� ��I.'ti. � <br /> �, r�,nne�.t all rooftnp tivrmsF���ts t_� the side ses.rei. � <br /> �.. Install ecosion cenr_cel measuees as detecmined by th.= :�:i�l_�: :�oeks �n::���:c�>� i}.'_=k /A <br /> �i25-33?-7903� � SUCiI 38 91�L fence, SCS35J hdl@S� 3W31B3� i�_' BCi�910D tildOr:eC]. V� <br /> 7. j{ r3t�:;�1 hasin 39 (7t C Llt\' $CdII�j3Cd Plan �4�G WLth 3 �73i tC3�) {W_Y $C'A�'�3C�� r�]C ^til'.. /� <br /> ,c C_^Illll�•:i .:U. r�12 :}Iqle�. �_IC:::• �J112 •711iV�� O <br /> � <br /> Z <br /> �. <br /> O <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � <br /> ( The undersigned owneRapplicant hereby agrees to hold and <br /> ��i �y:�„��Z� l((,.G`�� �(� /�� ) save harmless the City ol Everett Imm any and all claims for <br /> nppmv or Constmaion � Date damages,costs,expenses,or causes ot action that may arise <br /> /' /i because of installation and maintenance of the improvement or <br /> GLL_._ z f� e '7 other right�ol�way use hereto applied tor and turther agrees to <br /> �--L L remove same upon notice Irom the Ciry and to replace public <br /> I � �FINALINS cTION prop Ihere�py. <br /> Appmved as Gonstruci„d Onte <br /> w � - -��'/� 4 <br /> Signature ot Apphcant Date <br /> :VOPK AU7HORIZFD�V iH15 P[R1.1IT AtUST BE STAFTLD\NITHIY 180 DA1'S OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> 70 COIAPLETION.THIS PEFIdIT h1AV�E CANCELLEG 6Y THE CI7V UPON ANV STOPPAGE OF WORK ON 7HIS PROJECT OVER 90 DAVS DURATION. <br /> � <br />