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Pu���c woRKs <br />PERMIT <br />PUBLIC WORKS D[PARTMENT <br />3200 Cedar Stroel <br />Everetl, Y!A 99201 <br />(425) 257•8870 <br />OWNER NAME APF <br />ANOA�ORESS: J fi 1•1 FAkT1�RS ANI <br />15?30-A rpU17Z`b�.l ^Lt7E• Dk i <br />MILL CkEEY. WA n:;u12 <br />PHONE: �]�5759d3�i1 <br />TA% PAPCEL I.D.N <br />DESCRIF710N OF <br />PROPOSED WORN: <br />NAME <br />1�QT7ER <br />�v p D PHONE: <br />PRQIECTADORESS: <br />liJ9'i`qE'10, 5i1ii <br />T�?6�NfiCt�SES _�i. !tt7IT5 (ShY'L!�PE; 17'_ % 6Tf3 ST1 <br />?717 ?CiTH �T ?AL'r <br />PERMIT Ci1NDITIONS <br />Oate <br />Public Works Permit A' <br />Buildirg Permft a <br />Planning iielerence p <br />Pu61ic Works Fee 5 <br />Guarentee S <br />1'_r19i-pOr <br />Pwo�lz-ol7 <br />Bo512-028 <br />E'°.pp <br />L!+SS 19� lti, lr BLMg r�l FLaT �>F <br />EJERETT DIV F. <br />1. All calls for inspection shall be made 24 hours in advar^e. <br />2. All work shatl be pedormed in accordance wilh this permit and curreN City of Evereri Design and ConsWction <br />Slandards and Specilications. <br />3. Call Location Underground Sorvice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />d. Civil wec!: ro I:.,: �i�,��_ p,�� ��,�,�nv�.i ;ita i'lai: ,iar�,j __r,_t)7 (�_�,py a*.tach�di <br />5. Yrovid> an.d eio:;ion �-onti�ul a� di[��*_�d t.y th� Fublic W_,rks Inspector. <br />i5. KrNp i'it;• �rce•,t� �•leai� .ar ali i:in.:�_ . �. ....,._.� .. <br />'. Anj �.an:i,��->�i �irl�v�li. �:r.nq :stre�:.t �i��nt9.�c.�. ronc;' b.0 �.c.F.�j.;rFd, � <br />li L�� �k—�—��'/�7 <br />l p�nvM lor Conslruction Dat� <br />��U �.f��``�, <br />�3 �✓5�—�~:�5� <br />FINAL IN ION <br />Appr �Cons ucicd Dale <br />__ �/�� /-l3"O� <br />r <br />:� <br />„I.i.n <br />� IJ.i �. W 1�. <br />^(nfir/f�+� _ <br />... �itu�pY. a.. �� <br />.. - _ � L:IUC= <br />�.1.��, =a. . t� <br />:� <br />� <br />� <br />N <br />W <br />O <br />� <br />Z <br />O <br />� <br />� <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tho undersigned ownedappliwnt hereby agrees to hold and <br />save hartnless Ihe City ol Everelt Imm any and all claims tor <br />damages, cosis, ezpenses, or wuses of action ihat may arise <br />because ol installation and maiNenance of �he improvemeN or <br />other right�ol�way uso herato applied for and further agrees to <br />remove same upon no�ice Irom lhe City and b replace public <br />property mag ry7r'y. <br />Signature Applicant V �a����/O� <br />v <br />WORK AUT7IGRIZEO DY T1115 PERIdIT MUST OE STAHTEO WITIIIN 180 �AVS OF DATE PERMIT IS ISSUED AND TIiEREAFTER IS TO BE DILIGENTLY PI:RSUED <br />TO COMPLETION. THIS PERMIT MAV O[ CANCELLED UY THE CIN UPON ANV STOPPAGE OF WOFK ON THIS PflQ1ECT OVEfi 90 DAVS DURATION. <br />�Wr (]�1 OAT�O�R.ING. <br />