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PUB�ic woRKs <br />PERMIT <br />PU(3LIC WORKS DEPARTMENT <br />3200 Cedar Street <br />Evemtt, Wq g8201 <br />,az5� zs�.�, POSTING APR 17 zoos <br />OWNER <br />AND A� <br />PMUNL: <br />TAX PAR <br />101�1 EVEhGkEEH 4Ay <br />EVERETT WA 9diO4 <br />2064780947 <br />D # U"�U <br />DESCRIPTION Of <br />PROPOSCD WORK�. <br />PERMIT CONDITIONS <br />PHOVG: <br />ADDRESS' <br />Date <br />Public Works Permit x <br />Buiiding Permit q <br />Planning Relerence q <br />Pubiic Works Fee S <br />Guaramee S <br />a;�9i;:oos <br />PW0508-051 <br />C0508-02J <br />5���.UIJ <br />1. All calls lor inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be perlormed in accordance wilh Ihis permil and current City of Everetl Design and Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800•424-5555 <br />4. �"ennecr �ide sNwer per City Standacd p5p1. <br />5• C017�ecT COJfCOF� C�JM'18F�011i3 t0 Lile •9�aina9e system COY��„• <br />o. Ceneteuct an eme ,Fn�_ F ii-d fox this lot. <br />L7- '}' YUCII-3C4U11d uith "no-�,acking fic� lane" siyns on this iot <br />nnd ad�i,-�ip.n�� IOC. Cpll�lllt •412h th� r^�.ibli�: Woxl:s insp�ctor (�a�5_t_o_ <br />N:aeshall'. �.?lce (4�5_<.57-a1��: 7403) am:l the fic� <br />.� wL�an run:trvcring the r.uen-arnund. ' � � <br />� <br />�.r r�s� i.' ✓�s_ c. 7� iJ5 <br />�ppiovetl for Con mction Dnte <br />C���/` � � J ��r" O6 <br />FINAL INSPECTION <br />�pP�m�etl as Cons�ri¢Ictl Daie <br />w :� <br />.�.:fl�Ml.�Jj+ (� <br />. _ i ..) l�.l Y�:1 �r � <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned o� �er,'applicant hereby agrees to hcld and <br />save harmless the City ol Everetl from any and all claims for <br />damages, wsts. e.penses, or causes ol aciion ihat may arise <br />because of inslallation and mzintenance of Ihe improvement or <br />other nghl-ol-x•ay use herelo applied for and further agrees to <br />remove same upnn netice Irom 1he Cily and to replace public <br />proparry damagetl t` reby. <br />�/� /1, i <br />Si aiureol4 p�icani � �" oa�� D� — <br />�� <br />1YORN AUTH0�I7EU BY THIS FBf:ld1T MJST BE STARTE� WITHIIJ 180 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTEq IS TO BE DIUGENTLV PURSUED <br />TO COIdPLC710N THIS PCRAIIT IdAV pE CANCELL[D �V TNF CRV UPON ANY STUPPAGE OF WORK ON THIS PROJECT OVLR 90 DAVS DURATION. <br />W <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />_ I <br />O <br />a <br />