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Pu���c woRKs <br />PERMIT <br />PUOLIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98201 <br />`425> ZS,��B,oPOSTING �uN 1 s zooa <br />OWNEFNAME �'1UY.Yriz CV1L <br />ANDADDRESS: FO BOY. 3�B4 <br />EVEP.ETT <br />rHONe: 9=53395502 <br />TAXPARCELI.D.a U , �L. <br />DESCRIPTION OF <br />PROPOSEDIYORK: <br />PERMIT CONDITIONS <br />V lAl APPLICANTNAME <br />ANDADORESS�. <br />iiA 48203 <br />PHONE: <br />PROJGCTADDRESS: <br />Date OB/18%2G03 <br />Public Works Pcrmit � P410308-018 <br />B0308-020 <br />Building Permit k <br />Planning Relerence N <br />Public Works Fcc 5 <br />Guarantee $ <br />I"i�+`i�'.n1��i_$1� <br />A�aJc <br />721, DIVISIOH H <br />1. All calls lor inspection shall be made 74 hours in advance • plione (425) 257-8810 <br />2. All work shall be performed in accordance wilh Ihis permit and current City o( Everett Design ar.d Construction <br />Standards and Specilica�ions. <br />3. Call Loc�tion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />�l. Wock r_u be don� pec appcnved plan.-, daCed 13/21l/D3 (r„py attar,�r_-�i) <br />09-30-03 3:41PM <br />H 1f10336 <br />OTHER 1600.00 <br />H 308026 <br />PLAN CK <br />RUILD <br />SFCFIG <br />N <br />LIFIVE <br />H <br />SEWEF <br />UTILITY <br />WATEF <br />TOTAL <br />43.'71 <br />1620.95 <br />8.50 <br />306018 <br />45.00 <br />309055 <br />70.00 <br />.U?06.00 <br />1�OO.OD <br />5994.16 <br />A OM4750 <br />$A5.00 <br />/ <br />W <br />� <br />N <br />W <br />� <br />� <br />Z <br />O <br />� <br />� <br />� <br />a <br />G HEK 5994.1i, <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicanl hereby agrees to hold and <br />save harmless the Ciry of Everett irom uny and all claims for <br />damagos, costs, expenses, or causes o! action that may arise <br />because ol installation and mainlenance of the improvement or <br />olher righhol-way use hcreto applied for and lurther agrees to <br />remove same upon notice from the Ciy and lo replace public <br />rty dama t er � � <br />Signal �e ol Applkanl �� O O <br />WORK AU I HORIZED DY THIS PERMIT MUST BE STARTED WITHIN 780 DAYS OF DATE PERMIT IS ISSUED ANO THEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COh1PLETION. THIS PERMIT MAY BE CANCELLE� BV THE CIN UPON ANV STOPPAGE OF WORN ON THIS PROJECT OVER 90 DAYS DURATION. <br />