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� <br />� <br />� a <br />C. <br />\ <br />Pus�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Strcet <br />Everetl, WA 98207 <br />fazs� zs��eeio <br />OWNERNAME F7:%.Nh'I�li! �.��i!�N. <br />ANDADDRESS', �, I'��. N1 LJIf H�iT�.�i� A\`I': <br />e:-��:cr7-r u,� .• „ <br />PHONE: 1.. �•,��,�'� .I�JI <br />TAXPARCELLU.a nu.Il.'I.irll�lbil�!Ili� <br />DESCRIPTIONOF �I�'N �,-:�U;,}„F, <br />PROPOSED WORK: <br />PERMIT CONDITIONS <br />APPLICAN7 NAME <br />ANDAUOflESS: <br />PHONE: <br />Date <br />Public Works Pcrtnit a <br />Building Permit q <br />Planning Reterence k <br />Public Works Feo $ <br />Guarantee $ <br />PROJECTADDRE55: <br />� t��� �+3i.wt�r;r„p n. <br />• • ,u 1 <br />F Un�lu�� � in� I <br />,.�,��, ,,:, <br />1. All calls for inspeclion shall be made 24 hours in advance • phone (425) 257-8810 <br />2. All work shall be pertormed in accordance with Ihis permit and current Cily o( Everetl Design and Construdion <br />Standards and Specilications. <br />3. Call Localion Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />J. i�...ft+:l �.�tn..lt �au.i 1.�� .I.,,�r;�i P�I t� ��, 1 I�..m �1 �� <br />��1'� lul�lf�.i�� n . .� . . <br />�� h.'.-I,.t. {t� I:u (•1c;ii..1 ' .�. .. . pF1'6 ' i. �1� " � r �. i � � <br />j - . „� 1�� ,. <br />-- ��!%,(/C/� FS LfS/��y S�t7C4�!'�i �CO�+v �� �J�,J /J' �tJOr,t�i � T/�+c, <br />%n F L�ra7`toh �"ys���., hof r¢,�Uirc o! / <br />�� a�� <br />'J�- 2 . ps . .,, . <br />�� 4-'-i R., l�; . v/�.J �� 7` <br />Conslruttion Da <br />FINAL INSPECTION <br />Ap(Irovi4 as ConsWctetl Oale <br />„�;: u <br />,•:�; <br />,.,, <br />, ., <br />� <br />W <br />F <br />V+ <br />� <br />7 <br />Z <br />� <br />� <br />� <br />� <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The under igned ownedapplicant hereby agrees to hold and <br />savc harmless thc City ol Evcrctt fro•n any and all claims br <br />damages, costs, eapenses, or causes ol ac�ion that may anse <br />because of inslallation and maintenance ol the improvement or <br />other righl-obway use hercto applied for and fuAhar agrees to <br />remove same upon notice lrom the City and to replace public <br />property damaged thereby. <br />� ! <br />/ <br />Signature ol AppGwM Dale � <br />WORK AUIHORIZ[D OV THIS PEFiMiT h1UST BE STAPTED \YITHIN 180 DAVS OF DATE PERMIT IS ISSUED AND THEFEAFTER IS TO BE DILIGENTLY PURSUED <br />TO COMPLETION. THIS Pf-RMIT MAV DE CANCELLED BY THE CITY UPON ANV STOPPAGE OP WORK ON 7HIS PR0.IECT OVER 90 DAYS DURATION. <br />