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i <br /> PUBLIC WORKS °"° `����� <br /> Public VJorks Pcrma a <br /> P E R M 1 T Duilding Permit a <br /> PU6LIC WORKS DEPARTtdENT Planning Helerenca a <br /> 3200 Cetlar Street � <br /> Everen,WA 98201 Public Works Fec S <br /> (425)257-8810 <br /> Guaran�ec 5 <br /> OWNEFNAME � � r'/ APPLICANTNAME <br /> AND ADDRE55.��,/ ,��t � � K y f��I4�Y J+��D ADDR[55 <br /> U <br /> I527 �2vc���lP�t/q/�✓ ✓�✓G <br /> PHONE �i`C/Crl� �.1/l. . �'J£�2 �� ri�oNe. <br /> �25'- ? �Z-U`s/` <br /> 'fA%PARC[LID M PROJLCfAD(]`7G.6�SZ //7 � <br /> / > ��.c rlti .L L✓�i,- <br /> U[SCflIPTION OF /, /� /J /J n / /� <br /> i'ROPOSEDWOHN' /� PI��TI7G/ V`UJ(.�� rJ�Jy '/Y,� !{. �%i�i�t,� K('OtSF in�i? <br /> G�-G l+�✓, �-�y c,. � n_ ✓� v t�c,_ S/�NSS � � �t/-� ..r�n'�ifJ . <br /> ��C�..�� �GY� ��.' �� �> e' S'�Ar/.,� '��-4'i/ ��Ol�laG �/f — <br /> PERMIT CONDITIOIJS <br /> 1. All calls(or in�pection shall be made 24 hours in advance-phone(425)257-8810 <br /> 2 All work shall be pertormed in accordance wilh Ihis permit and current City ol Everetl Design and Construction <br /> Standards and Specilicalions. <br /> 3. Call Location Underground Service 48 hrs.bebre you dig. TOLL FREE NUMBER 1•800•424•5555 <br /> W <br /> ,� . H <br /> . , /'` � // N <br /> � ���1 � [�- J��C•�"L✓[r L,�. LC��.'Cc� [�Lc 4 /� '�L � <br /> �'c�'. 1 �i'. � �� ( J / � � <br /> �l r.� / �,j / S �;.-I//J . � <br /> � l <br /> 0 <br /> � <br /> Z <br /> � <br /> � <br /> � <br /> 0 <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIOIvS <br /> \ f The undersiynetl ownedapplicant herehy agrees to hold and <br /> - . <br /> / / �J)�Y-� + i� � � . s�ve hamiless the Ciry ol Evcrett Irom any and all daims for <br /> nrprove lor Consimcbon Dal � � damages,cosls.eapenses,or causes ol action Ihat may anse <br /> because ol installati and mnintenanCe ot ihe improvement or <br /> / olher ri hbol hereto �d lor and lutlher a rees to <br /> 9 • t� 9 <br /> V remove s i �p nohc o he City and to ieplace�ublic <br /> FINAL INSPECTION prope i h >' <br /> A��p«rcM as Gnnstru!1ca Dair � C�� �c��,� <br /> ;na1We01Appbcanl ����'"— O�n.. <br /> K'GVR nU1110H1:Lf)Ol'Lu;Pffi;'�li h1U3T 19F. STAf�T[D IVIiH'tJ 190 0/1'S OP DATE PERMIT IS ISSUED AND THEFEAFTER IS TO�E DILIGENTLY PURSl1ED <br /> TO CO:tPL(tION.1 MiS PI_H!dil MAv OE CnNG[�L[D�V iH[CITV 11PON ANY STOPPAG[OF WORK ON THIS PROJECT OVLR 90 DAYS DURA110N_ <br />