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PUBLIC WORKS Date 5/?9,/:,Ui�� <br /> PERMITPublicWorksPermilN �,W�,� ,:; -�,� <br /> Building Peimit a <br /> PUBLIC WORKS DEPARTMENT Planning Rcicrencc a <br /> 3200 Cedar Street <br /> Everetl,WA 98201 Public Works Fee S � ; , (�p <br /> (425)257•8810 . .. <br /> Guaran�ec$ <br /> OWNEfi NAME� APPLICANT NAME <br /> ANDADDRESS. i"����3 L1CI(dS02� AryDADDRESS: BY'EI]CI8 U1C�LdCOf1 <br /> i623 Ruckei Av�� �623 Rurkez 1�v�a <br /> Everett wa 98�01 Eva�ett w:�� 93.:01 <br /> PMONE: �u��b��31�) PMONE: <br /> 20h3653310 <br /> TA%PARCELI.�.1 PROJECTADDRESS, <br /> ::ti3� Fuck�r Av�� <br /> DESCRIPTION OF <br /> PROPOSEDWORK:1���`�-v11 Curb Ramp at. exi�=tirig driv��way <br /> 'Phrse area l�as bnen used a:_ a cuncret� �.it. iv,awa • for <br /> 111�+I�y Y'�-�dl'S 14] l.?1rJ1.11-. ., ]�) p�iE1" ]-cllil]J ].Il�i:,.i] i �,rj <br /> PERMIT CONDITIONS <br /> 1. All calls lor inspection shall be made 24 hours in advance-phone(425) 257-BB10 <br /> 2. All work shall be performed in accordance wilh Ihis permil and curreN City of Everett Design and Consiruclion <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs.belore you dig. TOLL FREE NUMBER 1-B00-q2q-5555 <br /> 4 . Lnstall ileiv�way ramp p�ac � ity st.,t�,l.�ed p ;�i�� (y,�diti� .=�t:i.or, cC f.he �` <br /> �_ti.c1174.:iFC� may be necr�ssal��y 1 it 1➢ I�. '•�] �d\ `;i.lil�.� 't111CI1t.7A11�: r <br /> ,. , Mr��t w�tlt t:l�.: Fuhli� 4.n -� <br /> 'ny _ ti:.-: llc:��.;�. ,, . _ ::itl sih� !�„ (;,�,_ � <br /> � �_;'^- � <br /> - ��r�lL:lt�:.li:j WUI.i . //� <br /> ��1 <br /> W <br /> O <br /> 06-04-02 4:lOFH ' <br /> b 2050�5 Z <br /> �tIVE 25.00 <br /> TU7AL ^,�,.Op <br /> CHEK ^y,,pp <br /> A OMA�04 F.■ <br /> v! <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> v �/� i <br /> /L��� � y q �� The undersigned owner/applicant hereby agrees to ho�d and <br /> - r�� � ._ save harmless Ihe Ciry oi Everett Irom any antl all daims lor <br /> A etl lor Conslru[Iiop' ie damages,wsis,expenses,or causes ol aclion that may arise <br /> �-� f%�� � because ol installation and maintenance of ihe improvement or <br /> � „'Cc� � _-'�-/J - U� other righboLway use hcrelo applied for and further agrees to <br /> � remove same upon notice Irom the City end to replace public <br /> FINAL INSPECTION property dama etl t ereby. <br /> Approvetl as Con;lrutletl Dale j //� <br /> � ' ci",..:6�1-�' <br /> __�_Y�Z <br /> SignalureolApplicam D e <br /> WORK AUTHORIZED BY THIS PERAIIT M1fUST O[START[D WITHIN iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BF DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PEflMIi NAV�E CANCELLED BV 7 H[CITV UPON ANV STOPPAGE OF WORK ON THIS PqOJECT OVER 90 DAYS DURATION. <br />