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, i� li _ _ « - <br /> PUBLIC WORKS u,�� os/o6i2ooe <br /> PubliclNorks�crmilk p{ti)803-007 . <br /> 1 - PERMIT <br /> � Ouiltling Pe�mil# <br /> PUBLIC WORKS DGPARTMENT Plannmg Relerence a <br /> 3270 Ceda�SIreM <br /> _ Everett,WA 9B20t Public Works Fee 5 <br /> �azs)2s��esio �-�-545.00 <br /> Guarantec5 �1'J;f�rOrr,"!L U���/�+,�' <br /> .c'en , ff.r r�i,.�/ �' <br /> OwNER NAME APPLICANT NAME <br /> ANDADDRESS. LITY nF EVE.RE•Pl• Qy�TCfCS ANDAODRE55'. gOE FQFLHA1fN <br /> 802 E M17RILT£0 BL�'P <br /> EVE72ETT WA 98201 <br /> rHON� � q2525'I6376 PHorve. <br /> lA%PARCELI.Da PROJECTADDRE55' <br /> '_ 11Af15 �iJoz'o T.TVF nA <br /> DESCRIPTION OF <br /> PROPOSEDWORK. Gft�NU PLAN FOR CF740 PRCVECT-TE�RNTON SIR,LIVAB <br /> � <br /> /�I --- --- — <br /> P[FIMIT CONDITIONS <br /> � <br /> 1.�All calls lu� mspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with Ihis permd and currenl Ciry of Everen Ueslgn and Consvuction <br /> Slandards and Specifications. <br /> 3. Call Location Underground ServiceAB hrs, belorc you dig. TOLL FREE NUMBER 1-800-a24-5555 W <br /> 4. ItiST.W.L 5=LT FEHCE ALONG EUGS OF L7+}� AS SAOAN OH PLAN S!BMI7TED. SILT E'ENr�; p�c � <br /> CITY STANDARD DETAIL .M205A. � <br /> 5. HBEP CIT7 STRE.'F:T CLEAN AT ALL TIP1E5. <br /> 6. IT75'*ALL TEMPORASY C911S:RUCTTON EN7R7.�rE PET. riT: OF EV£tiETT STANL��ZP fi268. m <br /> h's N_=E.Gv��. ��y O <br /> � <br /> Z <br /> O <br /> ,F, <br /> � <br /> � O <br /> a <br /> �:,> <br /> - I �CKtJOWI[DG[MCNT OF CONUITIONS <br /> ...11l Thc unAers�gned owner/appewnl hercUy a9rees to hok7 nntl <br /> //� /l —L� /� save ha�miess the Cdy of Everett irom any anA ail Ua�ms lor <br /> � f-�� ��-G� (e� � damages.co,is.e��ens�s.or cau.e;ol achon that may ause <br /> R� vc�l lor Con:truction ile <br /> because o�m;Wnalion anJ�nainlenance ul Ihe in+provement or <br /> olher nghbN-�vay usC hCre10 apphCd lof and hulhef agfee5lo <br /> remove same upan nohce Irom Ihe Cdy antl to replace pubhc <br /> �iNM.INSPFCTION —�--- -� ---- pmpmty Aamaged Ihcrcby. <br /> Apprwed as Con56ucicd Dalc <br /> ���_�Q�-�?I-t�t��- <br /> _ _ 5�9�aiwnolAnP�icani Da�e <br /> WOHK pUTHORVED(3V 7111$PGRIdII IdUST UG$IAHT@D NITHIN 100 DFYS OF UNC VFfiMil IS ISSl1FD ANO TIIfRCAFiE�R IS TO 1l[DIUGf.NILV PUHSl1E� <br /> TO COIdPI[TION.TNIS PFRMIT MAV 0[CANCGLL[D AV THG CITV IIPON ANV STOPPhGC Of WORK ON THi i PRO.1[CT OVC�n0 DAVS DUMTION <br /> r,vwr umr,l nniamn.�Hc <br />