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J/LU/LVUJ • <br /> P IC WORKS Date <br /> PD0509-026 <br /> Public Works Petmit N <br /> ER M 1 T Building Permit tt <br /> FU�LIC WORKS OF:PAHTMENT Planning Relerence A <br /> �; 3200CedarSlrrel $10�2?9.7� <br /> Eveiett. ; d Public Works Fee S <br /> �4z5,2�';�B�bSTING....�'.u�� z � zoo� <br /> . .................. Guarantec S <br /> D"�'� nrrucnwr NnrsE <br /> OWNERNAh1E � 16OS N W SAMMAMI.�H RL� •iTE II)7 ANOAODF[55�. <br /> AND ADDti[SS: r <br /> ISSAQUAA 981;27 <br /> PHON[. FHONP. <br /> TAi(PANCEL L�.a PF70JECT AUDRESS'. ' ' <br /> SITE DEV. FUR RETAIL CEHTER <br /> DESCRIPTIONOF l'� 7��5 I�[Y�OIRS��I /<�/ <br /> PfiOPOSED WORK�. <br /> PERI�?!T CC�NDITIONS <br /> 1. All calls tor inspectiun shall be made 24 hours in advance-phone (425)257-8810 <br /> 2. All work shall be performed in accordance wi�h Ihis permit and current Ci�y ol Everell Design and ConstrucGon <br /> Standards and Specificaiions. <br /> 3. Call Location Underground Service 48 hrs.belore you dig. TOLL FREE NUMBER 1-800•424-5555 <br /> 4. YEk AYFRUVED PLANS W <br /> �� � <br /> . � , m <br /> N�►e . ���IK�('�5 _ <br /> , _ O <br /> +Y� r��� M ,i, s��,�, . .� <br /> l�r �C�� Sie.e,S �,,,ccry �Iv.� � Z <br /> � <br /> '' � <br /> ,� , � <br /> . . � , 0 <br /> . a <br /> ACKNOWLEG3EMENT OF GCiNDITIONS <br /> � � � <br /> �/ - , The undersigned owneCappiican�here6y agrees to hold and <br /> �(_� �-�,J� save harmless Ihe City of Everett imm any and all claims lor <br /> p�pro�d ol Cons .cuo�, oaie d, ages,msls,eypenses.or causes of action tha�may arise <br /> e use of installation and mainlenance ol ihe improvement or <br /> � oth r righi�obway e iereto applied br and lurther agrees to <br /> --Ey��j�(,/ �!' 3 Q� em ve same upoi n ice Irom Ihe City and to mplace Public <br /> 1=1NA�PECiI N �-�t � op arly damaged 1 reby. <br /> Appiovea as conslmcleA f]alc � <br /> � _ '�'� �� __��Z�- • J'� <br /> Signaturc af Appbcani Daie <br /> WORK AUiHORIZLD�V TIi15 PEf7IdlT h1U5T�E STAf7TED WI7HIN 180 DAVS OF DATE PERIdIT IS ISSUED AND THEREAPTER IS TO BE DIIIGENTLV PURSUED <br /> TO CGMPLETION.iHIS PERMIT IdAV�E CANCELLED�V THE GTY UPON ANV STOPPAGE OF WORN ON THIS PROJECT OVER 90 DAVS DURATION. <br />