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/ <br /> PUBLIC WORKS Date . _ _ <br /> PERMIT P�b���Wo�ksPe�m�,�:.-: , ,;_ � . <br /> Building Permn# ���'-�"=�""�'1= <br /> PU�LIC WORKS DEPARTMENT Planning Reference tt <br /> ?200�edar Street <br /> Everell.WA 98201 Public Works Fee C ;�r ,� <br /> tazsi zs�-eei /� � ,p�� �UI� �^, � �,, � <br /> �11 � C� � �[4�............ �J�'arantee5 <br /> ................... <br /> OW NER NA�dF.,��., APPLICANT NAME <br /> AND ADDRE�.9Sr"'"T� F' ��"= AND ADDRESS: <br /> PG L;:; 71:, <br /> c\�FETT .. . ._ : <br /> PHON['. �, S7F�_ijGO PHONE � 1 � ^. <br /> —T <br /> iA%PAflCEL IA.#_ . PHOJGCT ADDRGSS. _ . <br /> �BU4Gti�.:'�10( i _�L(:i.i-�b-_z' _ <br /> OESCRIPTIONOF7�..r . .i�._' _`�"" _ �GWS' ��l—r'V <br /> PROPOSE�WOfiY,"'. _ .__ .. . - <br /> PERMIT CONDITIONS "` �''�'''�T � <br /> 7. All calls lor inspection shall be made 24 hours in advance -phone (425�257-8810 <br /> 2. All work shall be performed in ar,cordance with ihis permit and cwrent City ot Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.6efore you dig. TOI.L FREE NUMBER 1-800-424-5555 <br /> . '_2._. :�.�,'1::. :3:::' iL: :�'. _ C3i __ .: . _.� . . .._ .. . . _. . �_ . ., . . ._.. ` <br /> h❑ ]Cil � _ nli•.l [�1LK vVaC T�.]Ii}1��IE'. � <br /> _. huilding "B" to connaet s1d= sevee to main on n.�cth 91CI8 ��f pcoposed buildin�.i /A <br /> , �",-�nnFr.r. roof and feetina deain� t�� exi.ting CE stuh at �cuth•side�-.�f-���cc�erty. V� <br /> :onnect si3> s�wr �ZL C72]� s`tandacd ��3 li(11� 1i0.'�.� Cl � n _� _, _ ,r� /� <br /> _nstall ecosion �ontcel ¢ea�uces �er City vf Evecett �,�n}.�c�ia fut-9�ali �}$ecr-:, O <br /> �i <br /> . F.�move erosion c.�ntcal medsui2� upon cc�mpletion of thej-�prt�l�.'peioc to final <br /> � � ov.al of th�= pecu�it. .' <br /> . No d.et, mud� TO•�}:� iJL debcis :o be tiacked onto xoadv�. <br /> ._ . tJ,> I.uil�iirip M3t�cials r„ !;e :r.scke�i "r �ideWalks and �x+Sevaik� ta be kept c_�,❑ Z <br /> .. _. .. ."I 1�: ..i . . i❑ . . 9'.-l • . . O <br /> '�.�I:.7�A ��? <br /> � ._. �J � <br /> � �(rjtw{nNi�1� N <br /> tq �� w <br /> . . - ,.� .. . _ _I <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF COND'TIONS <br /> � � // � /� The undersigned owner'applicant hereby agrees to hold and <br /> !/(,' (.`�^F�y • �� : C i �� save harmless the Ciry of Everett Irom any and all claims lor <br /> pproaetl tor Consimction �Datn damages.cosis,expenses,or causes of action�hai may anse <br /> because of installation and maintenance of ihe impmvemem oi <br /> /��� oU�er righi�ol-way use hereto apphed for and lur�her agrees to <br /> L/"� � ./i���� --— - remove sama upon notice Irom Ihe City and to replace pubhc <br /> AL IN PECTIO pwpart damaged Ihereby. <br /> AFP�metl as Cnn_-1mc1eA [ldte . <br /> / ' <br /> i <br /> C'G `7 G nature ol A lirant ��'� •r' <br /> �a ' C' " C� 9 PP � Date <br /> / <br /> �70Ra AUiHOHIZCO(3V 1HIS P6q1.!IT A1UST�E STARTED WITHIN 16�DMS OP DATE PEFi 1iT IS ISSUED AN�1'HEREAFTER IS TO BE OILIGENTLV PURSUfU <br /> 10 C067PLGTiOt1.1HIS P[R1dlT td4V�[CANCELLED E1V THE CITV UPON AN1'STOPPAGE OF YJORK ON THIS PROJECT OVER 90 DAVS DUfiATION. <br />