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Dato , �1lV :007 <br /> PUBLIC WORKS publicWorksPermitu 1�070^-u05 <br /> PE RM IT Ouilding Permi�# <br /> PUBLIC WORKS DEPARTMENT Planning Rclorenco# <br /> ' 3200 Cedar Street <br /> Everett,WA98201 PublicWorksFeeS 5i.�, '?9 .07 <br /> (4<"5)257-8810 � <br /> . Gu�J�l.1�K7(�. ����0��� <br /> OINN[R NA1dE APPLICANT NAME . <br /> PNDA�DRGSS: ,.,��in•� �,f�-��ir ),r��^ ANDADDfiE55: <br /> �31� i'd5TLl ST ;;L G!//1/uJ , �.<�✓?r � <br /> ARLIti"vTOti Sg�„•� <br /> PHONE: ��ti_.`i1'r3<t� PHONE: � <br /> LiX PAfiCEL I.�.p PRQIECTADORESS: >ND ?AVE U :� /i�O ''����G�J <br /> O[SCRIP710N OF <br /> P(70POSE�WORK: �fE;41 P.1Sro.�±rrraL CC�4fF7.F'C <br /> (J l� � , :� � l., Q �i�q -2�d �1�e �t/ <br /> PERMITCONDITIONS �O PO�7TING=� ZOII <br /> t. All calls tor inspection shall ba made 24 hours in advance. <br /> 2. All�vork shall be perlormed in accordance witF.;his permit and current City ol Everett Design and Construction <br /> StandarAs and Specifications. ', I <br /> 3. Call Location Underground Service 48 hrs.belore you dic�.TOLL FREE NUMBER 1-800-424•5555 �y� <br /> �I. PEF: ?�`tBf?Ot r u PLktL: r <br /> — VI <br /> \ .~,�~ - " W <br /> � - 'J - l I — I�11 1 � �'��� ��o �[ � 7�- :�2">''sf''� __ O <br /> ..-�� �/ - // `;�±� .�:.t�'v`^i <br /> lS �� �� � �✓ bJP ic�v� /) � � T�Uu( - IV�iir1 3 � . _' _ � <br /> � � T, Z <br /> � _; , <br /> >,J.a cv�r L i s ���-� �. I ��(c'l ,��.� _•�a - �-�' � <br /> ��W �� l� c��� r. � S r ��nl� �iy i ��cl� ✓,cllic�l _';�"��;.�, __.' �w <br /> I r �;-J`•,S _/ <br /> < C> 1�t'.)��' Y��� l�l�C�,ty-i5.�� JZ i'Y�i c;o '� �u� -'��u�."-:`_" _ _ <br /> � ��,��,E, r ) �_,,, a <br /> - � - � � ACKNOWLEDGEMENTOFCONDITIONS <br /> �� Tho undersigned ownedappllcant hereby agrees lo hold und <br /> �� � �_ sava harmless Iha Ciry ol Everett from any nnd all daims lor <br /> -'"�T--�"��l "� �^�`� U� dumagos,cosis,ezpenses,or causes ol action thal may arise <br /> ApP�oved lor Constmction Dalo because ol inslalla�ion and maintenanco of Ihe impmvement or <br /> olhor right-oi•way use herelo appliod lor and luriher agrecs�o <br /> removo s ie�pon i�olice�rom Iho City and to replaca public <br /> FINALINSPECTION propetl ' �5�q2�1JiSreby. <br /> Appmvotl ns Constructed Dalo � '� <br /> ..�,/�'- -a'_J�-<_�7 --- <br /> Signaturo'olApplicanl Dnto <br /> VJORK AUTHORIZED�Y THIS PER1.1171,7UST OE START[D VfITHIN 180 DAYS OF DA7E FERh11T IS ISSUED AN�TI{EREAFfER IS TO BE DILIGENTLY PURSUED <br /> TO COLIPLE710N.THIS PE(ild1T IdAY�E CANCELLED�V THE CIN UPON ANY STOPPAGE OF WORK ON TIi1S PROJECT OVER 90 DAYS DURATION. <br /> CP1';P Orofi) pqTABAR,INC. <br />