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OWNER NAME <br />ANDADDRESS: <br />PHONE: <br />TA%PARCELI.D.N <br />Pue��c woRKs <br />PERMIT <br />PU�LIC WORKS DEPARTMENT <br />3200 Cedar Strcet <br />Everetl. WA 982b1 <br />(425) 257-8810 <br />921 fiAI.i ST <br />EVERETT <br />DESCRIPTION OF <br />PROPOSED WORK: <br />4253396121 <br />PEP.MIT CONDITIONS <br />APPLICART NRME <br />AND�ODRESS: <br />itA 98201 <br />PHONE'. <br />PFOJECThDDRE: <br />Date <br />Public Wods Pertnit N <br />Building Pertnit N <br />Planning Reterence R <br />Pubiic Works Fee S <br />Guarantee S <br />5/1B/2004 <br />Pt0405-014 <br />625.Oo <br />7. All calls for inspection shall be made 24 hours in advance - phr.ne (425) 257-8810 <br />2. All work shall be performed in acwrdance with this permit and curreN Ciry of Everelt Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />4. Any fencinq vithin the front yacd area shall be a aaxi�uw of 42" tall. <br />5. Ilev fence ahall be inatalled behind the City'e tcaffic/parking r_ontrol aiqna <br />ia needed to facilitate any �aintenance cequiced on the sign postn <br />S/i9, <br />�g�� �� �� <br />AL INSPECTICN <br />Appmved az Construc�ed Datr <br />�na�. �s.oc <br />��� <br />F <br />ACKNUWLEDGEMENT OF CONDITIONS <br />/ <br />W <br />� <br />� <br />N <br />m <br />O <br />� <br />Z <br />O <br />�w <br />_ • <br />O <br />a <br />The undersigned owner/applicaN hereby agrees to hold and <br />save harmless Ihe Ciry ol Everetl irom any and all claims br <br />Oamages, rosts, ...penses, or causes of action ihat may arise <br />because ol installation and maintenance ol the imprwemem or <br />other righ4obway use hemto apPlietl br and further agrees to <br />remove same upon notice trom the City and to replace public <br />pro erty damaged ihe!eby. <br />�, 7.�.-,.`� �/�9/L��f-- <br />Signature ol Applkant �aie <br />VJORK AUTHORIZED BV THIS PEfiMIT MUST O[ STAFTED WITHIN 1B0 DAYS OF DATE PENMIT IS I�SVED AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br />TO COLIPLE710N. Tf115 PERMIT 1dAY BE CANCELLED BV TH[ CiTV UPON ANV STOPPAG[ OF WOPN ON THIS PROJECT OVER 90 DAYS DUNATION. <br />