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PUB�ec woRKs <br />P�RMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Stteat <br />�verett, WA 98201 <br />�azs�2��ei���TI!`�G _MAY 2 9 2D01 <br />U <br />A�NDNADORess�Port. of Everett <br />PO Box 538 <br />EVERE'PT WA <br />PHONE' � 4�5 ) 388-070 . <br />'fAX PARCEL I.D. � <br />DESCRIPTIONOF Ui11011 <br />PROPOSED WORK: <br />!�l <br />PFRMlT CONDITIONS <br />��:�3cI� <br />PHONE: <br />FnpJECTADDRESS: <br />Date <br />Pubiic Works Percnit a <br />Building Permit a <br />Planning Relerence p <br />Pubiic W�rks FBe S <br />Guarantee $ <br />� <br />7/13/2000 <br />PW0007-004 <br />$ 1,752.50 <br />115.7 <br />1. All calls tor inspection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance with this permit and current City ol Everelt Design and Construction <br />Standards an�.: Specificalions. <br />3. Call Localion Under�round Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />4. 7�s per plan stamped "City of Everett Reviewed for Permit" and per <br />public Works inspectors instructions in the field. <br />5. Keep city streets <br />clean � all times. <br />I <br />��<� <br />��w� �. <br />-I <br />,;,-,�-,,.. <br />I� <br />or��r, <br />an�_r, <br />riaifiv,� <br />� �: �; r;.... <br />� _ h� <br />,:�: , <br />UOUii:i�� � <br />2C0.;i �roLon.. <br />500.: J F�ra�'Y <br />�ey ., c d <br />7q68.Cv" <br />_ f C �„�n <br />W` <br />r <br />vI <br />� <br />z <br />0 <br />V/ <br />0 <br />a <br />-,:"yLr�� _ ._.Jll <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undcrsiqned owner/applir.ant hereby agrees to hold antl <br />save harmless the City of Everetl Irom any and ail claims for <br />damages, costs, expenses, or causes ol action that may arise <br />because ol insWllalion and maintenance of ihe improvement or <br />other rightobway use hereto aoplied lor and furMer agrces to <br />remove same upon notice from Me City and to replace public <br />pr p damaged thereby. <br />—%�_ <br />Signature I'Appleam D'ate <br />WORK AUIHCRIZED BV THIS PERMIT MUS f BE STARTE� WI7MIN 1B0 DAVS OF OATE PERMIT IS ISSU AND fHEREAFTER IS TO BE JILIGf:NTLV PURSUED <br />TO COMPLETION. TNIS PEHMIT MAY BE CANCELLEU BY THE CITY UPON ANY STOPPAGE OF WORN ON THIS PROJECT OVER 90 DAVS DURA710N. <br />