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. Date ?11f�/�001 <br /> PUBLIC WORKS PublicWorksPermitq ���i7��"005 <br /> ' PERMIT <br /> Builtling Pormil# <br /> PUBLIC WORKS DEPARTMENT Planning Relerenco p <br /> � 320G Cedar Streo� <br /> Evetett,WA 98201 Public Works Feo S ;i.'•,3=�J.O 7 <br /> (425)257-8810 <br /> r!l <br /> . GU 1� "' <br /> �4'�i�. .?�30�7 <br /> OWNEFNAME APPLICANTNAIdE --y <br /> ANDADDRGSS. ��nIR'.S GTi�?UP LT��� ANDh7D(7E55 � <br /> -Jip 1�5�rn sr .� �;�� � ;�i /'a�..:�- � <br /> rV?LSTi3iON P8'_'3 <br /> PHON6: ��_`��7�� PHONE: ' <br /> 9__ . ,�45 <br /> TAX PARCEL I.D.N PRQIECTPODRESS: <br /> 'ND A';c U � /00 �-Z W' <br /> D[SCRIPTION OF <br /> raoroseowor�K: rt�;ra RPSTC�E?tTT.•1T, i'GII.PI,FJ: <br /> (� �..� � / �� � /�, Q 5 G�I -2Yld �1✓e �t/ <br /> PEAMITCONDITION3 �O POSTINI7_ �.� O�E_ZQ�� <br /> 1. All calls lor insped?on shall bo mado 24 hours in advance. <br /> 2. All work shall be pedormed in accordance wilh Ihis permit and curren�,Ciry of Everell Design and Conslruclion <br /> Standards and Specificalions. <br /> 3. Call Location Under�round Service 48 hrs. belore you dig.TOLL FREE NUMBER 1-800-424•5555 LW <br /> �l. PEF: k2PP.0�G PLRtl:: r <br /> - V+ <br /> ,� - �, — t I — �,� ��.i 1 � i. �� ;.�v Ir � �r .=�s'� _ y O <br /> �-- ./n � 7�1 - 4� „��tr�.. _ <br /> lS �q �)'� �J �Jl' ic�bt l � r N7Gl _ �V�yt��I � �,_� , ._. � <br /> � � �3 �-� _;�'- <br /> _i .� :- <br /> `, i a cvcr L r s �����. �, � ��(d , � ..., _,..a O <br /> � i I � �`� �/ =1'}`'`_`. :- . . ' � <br /> �w (� l� o��e ,� � S � ��c� � , y �ici ,eiliz ���. � �;>.�. -:= <br /> �+:: _- <br /> �_ <br /> t.ti�N� _ � <br /> -.,: :. . s�. <br /> 1�� { �.� "�<p�.,,� <br /> � V V�l'.) Ll IC 6� Lf�lUi�-i�i� �V IY1l C iG 'l I R� =-i�^�q�=.�i ^��"r.'. O <br /> � .� �i_�r <br /> ( ���,i7;t � ) :_:.'-� a <br /> � ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agreos�o hold and <br /> r- ��/��v= savo hannloss Uio Cily ol Everelt Irom any end all claims for <br /> --'����'=�� � / �� damagos,costs,expensos,or causos ol action ihal may anso <br /> App�ovna br Construciion Dnto Uacause ol installation and maintenanco ol ihe improvemenl or <br /> other righ�-obway uso heroto applied lor and funher agrees to <br /> removo s¢m1o�po��n611ce Irom Ihu City and lo replaco pu6lic <br /> FlNALINSPECTION proport �iy5 BWf��roby. <br /> AUProvadnsConsWcled Dnto <br /> ������ �-�}'_-(>7— <br /> — SipnaturoolApplicant Dato <br /> 1NORK AUTHOf11ZED�Y THIS PERA1li IdUST�E STARTED INITHIN tA0 OA/S OF DATE PERAt1T IS ISSUED AN�THEFEAFTER IS TO BE DILIGEIJ7LY PURSUED <br /> TO COIdPLETION.THIS PER611T h1AY�C-CANCELLEO DY THE qTY UPON FNY STOPPAGE OF V�OflK ON THIS PROJECT OVEii 90 DAYS DURATION. <br /> GPIYP Il.'061 DATABARJ�C. <br />