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Pus��c woRKs <br />PERMIT <br />PUDLIC WORKS DEPARTMENT <br />3200 Cedar Streel <br />Evcren, WA 982D1 <br />(4?sl 257-8810 <br />IWNE(i NAME CWiFt JC�HN <br />�NOADDRESS: <br />16'.•1 47hLNUT ST <br />EVEkET"f VA 96�01 <br />rHorue q�53542�i31 <br />rnxrnRceuu.� OOo197's?601400 <br />oescairtioNOF INSTALL CHA,IN <br />PROPOS[D WORK�. <br />PERMIT CONDITIONS <br />Date 4!1/2005 <br />PublicWorkSPertni�p P410504-U01 <br />Building Permit a <br />Planniug Reterence M <br />Public Works Fee 5 S��. J Q <br />Guarantcc S <br />APPLICANT NAME <br />ANDADDRESS: S�� <br />PHONE <br />PROJLCTADDRE55: SU.J1 FTALNIIT ST <br />1. All calls lor inspeclion shall be made 24 hours in advance - phone 425 257•8810 <br />2. �II work shall be performed in accordance with this permit and crrrenl City o vereu Design and Construction <br />S�andards and Specilications. <br />3. Call Localion l)nderground Service 48 hrs. belore you dig. TOL.L FREE NUMBER 1-800-424-5555 <br />4. ��wnei will bu cesponslble fo� moviro;� the func-e if the City eeec needs thi� <br />�,�:�,�ecty f�,c municipal pucpo.ye�. (xmee �ill be ee,pnneill;e foe replacing the f��nce iE <br />t�le ClCj� ❑fB�9 20 Ci'NOVE ]t YO q@C i0 S�1C MACBC main. <br />5. Fence te be a toaximum heiyht of A2" �' �c <br />o. In�[all fence back 4' fiom the c:ueb on 17th Steeet and f" fLom the back o� s�v.}�i; <br />on W,Liut Stceet. nr � o <br />7. Do not fen�e in the �[��p siy�ri �_. inetall land::c•aping ihat vill c��=at� �hh� <br />distance pc; l,lem ,,c con,_,,rn. 7C � <br />g � y,� <br />� <br />r� <br />Ui <br />W � N <br />:�G� <br />�;O`_' <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W` <br />r <br />V/ <br />W <br />O <br />Z <br />O <br />��/� <br />V/ <br />� <br />a <br />Thc undersi�ned ownedapplicant he�ehy agmes to hold and <br />save harmless the Ciry of Everett irom any and all claims for <br />damages, costs, expenses, or causes of action that may nnse <br />because ol inslallation and mainlenance ol tho improvement or <br />olher righbof�way use hereto applied lor and furiher agrees to <br />remove same upon notice from the City and to replaco public <br />p�o�C damaged t� here� �� <br />% <br />( & r1�u ppOcani ale <br />IYOHK AU7HORi7FD OV THIS P[Rh7IT A1U5T �G STn1iT[D ri'ITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO BE DILIGENTLV PURSUED <br />f0 CO'.7PlGT104 THIS PEfl111T �dAV �G CANCLI LGO UV TH[ CIIY UPON ANY STOPPAGE OF WORK ON TNIS PROJECT OVER 90 DAVS DURATION. <br />