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. . Date o��ri/o0p1 <br /> PUBLIC Wt�RKS publicNJorksPn'mi�,�. ���7��'�Oo <br /> PER M 1 T Building Permit# <br /> PUBLIC WORKS DEPARTMENT Planning Rel irenco# <br /> ' 3200 Cedar Street <br /> Everett,WA 98207 Public Works Fee 5 >3.',3-n.07 <br /> (425)257-8810 / � <br /> Gu3refi //�K7C`�. ���DlJ <br /> OV;NER NAME APPLICANTNAIdE <br /> ANUl.DLRESS: ,.,���ii� ��F�.�p T�i��. AN�AODFESS: / � � <br /> �11n i�!"aTll ST ;fE 1...�� �/✓t-, �.��•,....;` � <br /> AF?LLRGT9N 9�3�:+ <br /> PHONE: 4��_`��-�3 '� PHONE: � <br /> TA%PARCEL I.�.# PROJECT ADDRESS: <br /> _r,c� ?��;r•, e, :r' ,ov S� aJ <br /> DESCRIPTION OF <br /> PROPOSED WORK: }r�;rr Pysro��rrr�r. R�11PI.FX <br /> (� !,.� ,C , -,, � l=. Q`i�q -2�d �1�e �t/ <br /> PER"".�CONDITIONS `�t� POSTING_ ��o e zo_�.� <br /> 1. A�' ,:alls lor inspection shall be made 24 hours in advance. <br /> 2. All rvork shali be pertormed in acwrdance wilh Ihis permit and current City ol Everett Design and Construction <br /> Slandards and Speci(ications. <br /> 3. Ca�l Localion Undcrground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424-5555 W <br /> �1. PEF: A2I�I20V%;) Pld�.tl:; � <br /> - V/ <br /> �"-''_':_'�-' '3": :i� � M <br /> � ' 'J - l � —' / ��( l � � �� .l.� 1't �"` :!�= ��;r_",� _- O <br /> -��_ � _�'_'-:j i: <br /> / �p.(_ lYl�, -�-�"._ :: ', .� <br /> 1 � �1 �)f- I�J �l l' i ��v�� ) � C u �✓1 .b�. �45 _.. .. <br /> J l ,'j�I � I:F�'z. � <br /> ti <br /> �- � Q cvor L t s I:�o� �, � ��(d ,��� .�' _.;-A Q <br /> vr�T�uy s' � <br /> (�C1.I �� 1� c ��� r� � 1 � ��nlr �i7 � ��cl� ✓�clucc/ ��� i.�� »;.. -__ <br /> T�CyN•J���!4�� � <br /> ..�.�_ <br /> J ;ti,«,� 1; �,. ;.-�;�_.<� _,�. <br /> �� o w��,lc �d i�ctCt,u�.,s�-� z � _-:�.,�;���,_ �, _ ;\ O <br /> _,:; . <br /> ��:, <br /> ( (�1��c� � ) -'=? a <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> „/ 7La undersigned ownedapplicant hereby agr�es to holtl and <br /> �,.'____. �l�,�� sava Larmless lho City ol Evorelt Irom any and all claims lor <br /> --``—��� ��� - damages,cosls,expenses,or causes ol action thal may arise <br /> Approved lor Conslruction Dnto because oi inslallation nnd maintenanca ol the improvemenl or <br /> othcr righFobw�y uso hcreto applied lor and luriher agrees to <br /> romove s aypon�n6tica Irom the City end to replaco public <br /> FINALINSPECTION proport � r�ih�e�IhSreby. <br /> Approved as Cons�rdtled . Uala / `7 <br /> ��— ____���-��I- ' _ _ <br /> - — SipMtuloOtAppliuint �nlo <br /> IVORK AUTHORIZ[D f3Y 7HI5 PERAfIT IAUST OE ST0.RTED WITHIN 180 OAVS OF DATE PER1,9T IS ISSUED AND THEREAF7EF IS TO BE DILIGENTLV PURSUED <br /> TO COMPLETION.THIS PERMIT IdAY UE CANCEL�ED�Y THE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJeCT OVER 90 DAYS DURATIOtJ. <br /> [P1Yf�(]�tl6) DATABAR.INC. <br />