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. 8/30l�r9; <br /> PUBL1� W�RKS Date <br /> YWu508-055 <br /> PERMIT �'��blicWorksPermitq �o5oa-o�-, <br /> Building Permii# <br /> PUBLIC WORKS DEPARTMFNT Planninq Relerence t! <br /> 3200 Cedar SI.S�e $25.00 <br /> EveretL WA 90��1 POSTi��� _APR O 9 Z l�Epublic Works Fee S <br /> (425)25i-8Bt <br /> Guaraniee S <br /> SUILDEF Z S_ . � � � <br /> owver�NnMe �2723 EOT&ELL E':'T HWT nar�ucn;iruan�e <br /> f�NO ADDRESS' AI:D A�GR[55. <br /> ��eks:1-r w,a 9 aa o e <br /> 4::'�3792:44 <br /> PHONE'. PHONE�. <br /> �'�I:i1'(Ii' � 1 >^ a� cr <br /> iA%PARCELID.e �W HOI�S£ - BASD� 1SF �'�OJECTADDRESS <br /> OESC(71PTION OF <br /> PHOPOSED WOHK. <br /> SAO`r.T'F1,AT 1�9:.-?'l-U4 L�.:. .. <br /> PERMIT CONDITIONS <br /> 1. All calls fo� inspeclion shall be made 24 hours in advance -phone 1425) 257-8810 <br /> 2 NI work shall be perlormed in acwrdance with this permi[and current Cily ol Everett Desicn and Construction <br /> Standards and Specificalions. <br /> 3 C�II L�cation Underpropnd Service 48 hrs.bebre you dig. TOLL FREE N11,518ER 7-800•4'14•5555 � <br /> 1. �'ur ? ami aspf5alt ko be 1it,t:.11ed �?.3C cendlL:0I15 OI :�IOCC p13T. <br /> 5. ConneCt i�•?ffi�p c!avnspouts to the CIL3303qe :V9S?T pR�P1dAd 2�?i Yh73 lOt . � <br /> . Instal; eeo�ion conri�.l measuees ��•ee rity �;f Ev?c�tr ,tandacds foe :;mall �:�acc�i:: <br /> ., — <br /> 7. Pace driaHw,y fc_:m t1:e fi�mt peopec�ty :ine :ut to the stieet pavin . 'A <br /> V� <br /> W <br /> - , _ O <br /> �'. <br /> � � <br /> 1`� Z <br /> � O <br /> �].•a �ri �.n �.:i � <br /> . . . �•, � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CO��OITIONS <br /> � A The undersigned owner�applicant hereby agree�to hold and <br /> J ,./ ,� �� C�,f save harmless Ihe City ol Everel!irom any and all claims lor <br /> 1pplo�en lor Co�strucnon D r damages,cosis,expenses,or causes of action Ihal may arise <br /> . because ol instailation antl maintenance of the improvement or <br /> other righbol-H�ay use herelo apphed�ar and Wriher agrees to <br /> �f������-- �� remove same upon notice Imm Ihe Ciry and to replace public <br /> � INSPE TION property damaged Ihereby. <br /> Appmred u Can5lmcicA Datc � ��/�—��U` <br /> J'l3 '�'G SignaWre ol A wnt Dale <br /> l'JORK AUTHOfiIZED�Y TNIS FERLIIT IdUST(3E STAFiTEU WITHIN 1d0 OAYS OF DATE PERh11T IS ISSUED ANO7HEREAFTER IS TO CE CILIGFNTLV PURSUE� <br /> Ti1 CO�dPLf7iON iH15 PfRl.fli I,Lh'9F CANC[LLED PY THE CITV UPON ANV S10PPAGE OF WORK ON iHIS PROJECT OVER 90 DA1'S flU17ATION. <br />