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Pus�ic woRKs <br />PERMI'� <br />PUBLIC WORKS DEPAR7MENT <br />3200 Cedar Simet <br />EverelL �W 98201 <br />,4z5,�5���osTE�c <br />10121 EVEFGRE:N WAY <br />E1'F.RETT S:A <br />PHONE- �O(��Bb"47 <br />TA%PARCELID.a UU � UU'� <br />DESCPIPTION OP <br />PROPOSE�\NORK. <br />PERMIT CONDITIONS <br />FEB 0 8 200� <br />AFPIICAKr NAIdFt <br />ANDAODRESS'. <br />cEcpG <br />PHpNE <br />PHOJECT ADDRESS'. <br />Date <br />Public Works Permi� u <br />Building Permit # <br />Planning Reference Y <br />Public Nbrks Fee 5 <br />Guarantee S <br />a;��izoos <br />/ <br />Fmosoe-osn <br />r05US-019 <br />5:.6,�i1� <br />li!1:'1 EVF.Au'REEN 4TAF <br />Etrr'F.:ETT �A 4E::U-0 <br />20u978i,y97 <br />1. All calls br inspedion shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance witn this permii and current City of Everetl Design and Consiruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER t-80D•424•5555 <br />. cunne,:r, ;��:� :;ever pec Ciry St.anda[�i Atiiil. <br />5. rc,nnact Lo.�icoy dc�vnspouts to the elcainaye system prirni•:i?,:l foi this lot. <br />C�. r0119CC-llCt d❑ emecuency tuen-acoun,i Vli�l `�I10'�i.iC�lll�J f10E Zdil?�� `.71�]I1S O❑ i�11.4.iQi <br />and adj_�ini�g lot. �onsul[ w�it� t.he Tublicr Woc1:s inspFe*,c,t (9_ �-3??-7903� ,an�J the ,�ire <br />?1at:hail'r, �:�ifice , ...-.:4'-�11�.;j �✓hep -nn�teacrin�� the r.ucn-acound. �� � <br />/ <br />_ `�r !i '( i / �li.ld�J+� � I � - O5 <br />ADP!o�ed lar Constmction Dale <br />� � c� Fi� . _ �_ <br />♦ 1 a� <br />' (�" <br />FIN4L INSPECTION <br />Appro.ed as Consliucietl � �ate <br />�4 �. <br />r !—' <br />� �: i��'M� �is�r `»i <br />ACKNOVJLEDGEMENT OF CONOITIONS <br />7ho undersigned ownedapplicant hereby agrees to hold and <br />rave harmless the Ctly of Evcrefl Irom any and all c�aims lor <br />Jamages, costs, expenses, or causes ol action Iha1 may arise <br />Lerause ol installation and maimenance of Ihe improvemenl or <br />other ri�h4of�way use hereto aoplied tor and luriher agrees to <br />remove same upon notice Irom Ihe City and to replace u61ic <br />pro rty�damaged thereb✓. <br />�,� �C,�D_J/�� G �� �, <br />SignaWreotAppls I o Daie <br />1'10RN AUTHORIZCD 13Y 7H�S PERMR MUST �E STARTED WITHIN 180 DAVS OF DATE P[RMIT IS ISSUED AND THEREAFiER IS TO BE DILIGENTLV PURSUED <br />10 COM17PLETION. iHIS P[FiMIT AIAV OE CANCELLED UY TNE CITV UPON AN1' STOPPAGE OF WORN ON iHIS PROJECT OVER 90 DAVS DURATION. <br />