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PUBLIC WORKS <br />PERMIT <br />PUBIIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Everelt, WA 98201 <br />(425) 257-8810 <br />Glacier Nu�thwe,t, <br />PO BoX 1730 <br />SEATTLE WA <br />F"o"E: ( 306 ) 768-761� <br />TA%PARCELI.D.d <br />APPLICANT NAME <br />Inc. nNonooaess. <br />93134 <br />rHONc. <br />DESCRIPTIOY OF <br />PROPOSEDWORH: GO yrc. fill t.o exterid parki�iy <br />PW <br />PERMIT CONDITIONS <br />Date 3/30/3001 <br />PublicworksPennita pW01C13-04! <br />�uilding Permit a <br />Planning Relerence n <br />Public Works Fec 5 <br />Guarantec S <br />23Z3 <br />�..3 Ross Ave NE <br />t. All c211s lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All w.�rk shall be performed in accordance with ihis permit and curreN City o( Everelt Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br />4. As per approved plan iiated 3/,0/pl. <br />5. F:eep C]t_y 3tLet�t cleall et dll tlmes. <br />f,. In.-t,�1 i�-tos.ion �_untcul ar: �lirert�ad Ly <br />App�ovetl tar nstruc0on pi�S <br />� f� iti�-a' <br />FINAL INSPECTION <br />Acp�m�atl as ConsbucteA Dale <br />ttn_ public works inspector <br />°,,.IO. 0p <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hcreby agrr,es ta hold and <br />savc harmless the Cily ol Everett Irom ony antl all claims lor <br />damayes. costs, e�penses, or causes ol action �hat may arise <br />becau;u ol ins�allation and main�enance of �he improvement or <br />other iig ol� .ay use hereto applied for and lunher agrees to <br />remove am upo notice Irom !he City antl to re ace blic <br />prope ag hcreby. <br />Si9nalure ol An� � Da� ��/ <br />C:ORH nUiHORIZED Ov iHIS PER�dIT M1tUST �E STMTED tt'I1HIN 100 DAYS JF CATE PERh11T IS ISSUED AND THEFEA�ERiS TO BE �ILIGENTLY PUFSUED <br />7( i CC :^•'lt3TIG^: TH� ; P[R1.9T �dnY [3G CnNCELLEO Ov THE CIiV UPON ANY STOPPAGE OF WORH ON THIS PROJEC Oy�R 90 DAVS DURATION <br />W` <br />1'� <br />vI <br />W <br />O <br />� <br />Z <br />O <br />F= <br />� <br />O <br />a <br />i <br />