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PUBLIC WORKS <br />PERMIT <br />PU�LIC WORHS DEPARTh1ENT <br />3200 Cedar Strr.r,l <br />Eveietl, W� 9�201 <br />�°z9(�'-�DSTING JUL 2 2 2004 <br />)LVNFH NAMF FRApKI,iN CLYDE APPLICANT NAME <br />�NDADDR[S5. SLUS WILMING'PON AVE ���DADDRESS' <br />��Tr � 98203 <br />r��oNc 4252595441 <br />TA% PARC[L I D. r <br />D[SCRIPTION OF <br />PROPOS[D WORK�. <br />00410200008300 <br />HEW GARJIGE <br />PEHMIT CONDITIONS <br />PHON['. <br />rao�ecrnoo��rss 5105 <br />Date <br />Public Works Permit a <br />Duilding Permit k <br />Planning Relerence a <br />Public Works Fec 5 <br />Guarantce S <br />% <br />5/3i200G <br />PWO-0OS-001 <br />B0909-034 <br />525.00 <br />1. �II calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with this permit and currenl Cily of Everett Design and Construction <br />Slandards and Speci(ications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />4. Rooftop xunoff nust be dischaeged to a eoof dovnspout infilteation system per City <br />of Everett Stocm Manual 3-2.6.2. Width -3', Depth - 2.5', Lenath - 12'. <br />;tl <br />.`•b <br />a; <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Thc untlersigned ownerlapplicant hereby agmes to hold and <br />&3vc harmless Ihe Gry ot 8verett Imm any and all claims to� <br />damagr.s, costs, ezpenses, or causes of aclion that may arise <br />bec. use of installation and maiNenance ol lhe improvement or <br />other righ4o6way use hereto applied lor and lurther agrees to <br />remove same u n notic� Irom Ihe City and to replace public <br />�aperty tlama�e t ere y <br />���,LL ..�� L'�-- -�I��{��- <br />naiwe oi Appbcani Date <br />\NORK AUI Hpi+llCl) f1V 7HI; Ptl��dli� r.tU51� BE 57ARi[D WIIHIIJ tB0 DAYS OF DA7F PLRMIT IS ISSUED ANU THEREAFTEH IS TO BE DILIGENRY PURSUED <br />70 C06�PLE110N TNIS P[R�dll �dAV Ui- CANCEILCD �Y TH[ CITV UPON ANY SiOPPAG[ OF WORK ON THIS PROJECiOVER 90 �AYS DURATION_ <br />W <br />� <br />V+ <br />W <br />O <br />� <br />Z <br />O <br />�r/� <br />V� <br />O <br />a <br />