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- P�lBLIC WORKS <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar SIreM <br />Everett, WA98201 .lUl 1 1 <br />,4Z5, 25�-�� �OSTING <br />JEHSEN RUSSELL <br />2206 SUrMIT AVE <br />gygygTT iTA 98201 <br />PHONE: <br />TAXPARCELI.D.M 003773462D2700 <br />DESCRIPTIONOF DR�INT.G£ FOR GAF��GE <br />PROPOSED WOFK: <br />PERMIT CONDITIONS <br />APPLICANT NAME <br />ANDADDRESS: <br />PHONE: <br />Date <br />05/21/2003 <br />Public Works Pertnit N nQ0305-031 <br />euilding Permit k B0305-033 <br />Planning Reference K <br />Public Works Fee S $25.00 <br />Guarantee 5 <br />PROJECTADDRE55: 2�1)f S�A44T AVE <br />1. All calls for inspection shall be made 24 hours in advance - phone (425) 257•8810 <br />2. All work shall be performed in accordance wilh Ihis permit and current City of Everelt Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424•5555 <br />9. Inatall dcyvell foc downapout� or route drainage away frc� sauth side of lot s�� <br />ad?acent pcnpecties ace not impact.�i by ewi-off. <br />:! G <br />CNG <br />ACKNOWLEDGEMENT OF CONDITIONS <br />/ <br />W <br />H <br />V/ <br />W <br />O <br />� <br />Z <br />O <br />F- <br />N <br />O <br />a <br />Tha undcrsigned owncrlapplicaN hereby agrees to hold and <br />save harmless ihe City ol Everett irom any end all daims for <br />damages, costs. expensos, or causos of action Ihat may arise <br />bewusa ol inslallalion and mainlenance ol tha improvement or <br />olher righl�ot-way use hereto applie0 lor and lurther agrees to <br />remove same upon notice htm ihe Ciry and b mpWce public <br />properry damaged, ihc�r by•. � � <br />;��M �'� S'1 Z �- <br />Sg Nre ot Ikanl ' ���e <br />Ty0 CO If'l EToION T�I1SVPEP'� TEMAv B[ CANCELLTED Y�THE GTV�UPON ANYO STOPPAGE OF WORK ON TNIS PPOJEC OVER 90 D YS IWRA ONPURSUED <br />