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v <br />' PUB�ic woRKs <br />PEI�MIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar SVeel <br />Eja�en. s� �e o� APR 0 4 1002 <br />�'� �bSTING _-- <br />Dam 11/21/2001 <br />P�a+�wo�SPe�n� pwoiii—o2� <br />BuilAingPermilR B011l-023 <br />Planning fieference 1t <br />Public WoAcs Fee S <br />Guarantee S <br />OWNEP. N�ME APPLIGnrvI nnme <br />ANDIIDORESS:DRAP(�U WtLLiAM/ MILDRED nr,onooaess: Dn05�WALINUTIST/ MILDR <br />2005 WALNUT ST , EVERETT WA 98201 <br />EVERETT WA 98�01 <br />pMONE: �4�5)339-5185 <br />PHONE: ( 4'?5 ) 339-5 ] 85 <br />PROJEC7ADURE55: � <br />TA%P�RCtLI.D.� p0563w412�13�� <br />DESCRIPTION OF <br />PROPOSEDWORK: V�T���'E ON ALLEY <br />�. _ <br />�� <br />PERMIT CONDITIONS <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pertortned in accordance with Ihis permit and curreN City of Everelt Design and Construclion <br />Standards and Specifications. <br />3. Call Location Underground S�rvice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-42�-5555 <br />4. CONNECT ALL ROOFTOP DOWNSPOUTS TO SIDE SEWER. <br />$25.00 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />W <br />F- <br />� <br />N <br />m <br />O <br />� <br />Z <br />O <br />� <br />� <br />a <br />Thc undersigned ownedppplicant hcreby agrees to hold and <br />save harmless the Ciry ol Everetl irom any aiW all claims for <br />dainages, costs, expenses, or causes ol action ihat may arise <br />because ol installation and maintenance of the improvement or <br />other righ4of�way use hereto applietl for and further agrees to <br />remov me upon notice Ir Ihe City and b replace public <br />� p ged ther . <br />L �°��6� <br />Sig Nre APPIiLanl D.11e <br />TO COh PLETOION EO10 PERM T MAV E CANCELLED BY THE CITV'UPON ANYO STOPPAGE OF WORK ON iNIS PROJEC OVER 90 � YS IDUR TIONPURSUE� <br />