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PUBLIC WOF;a(S Date �/14/3U0.'. <br /> PERM I T Pu61ic Works Permit k PW0.:03-018 <br /> BuiltlingPermita �i1�0:;-009 <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Siree! <br /> Everett,WA 98201 Public Works Fee 5 $2 3 5 . U i i <br /> (azs�25��eaio � <br /> Guarantee S � <br /> OWNERNAMB-�1SLEL GFF.G APPLICANTNAM1IE <br /> ANDADDflE5S1 ANDADDRE55' <br /> 211'3 33TH ST <br /> E'✓EkETT PIA :3::u_ <br /> PHONE: Q'�J��7 i:s 3'.a J. PHONE: <br /> TAXPARCELI.D.p .� PROJECTADDRESS- <br /> �JU�7:JUIi..jUf)`li�'7 ..! L':' �i'��"=(:�i .... <br /> PROPOSEDWORK41AiiEHIiU.SE � C,2'FTCE "y <br /> �;nn� � <br /> I cha�,�C �e <br /> PERMIT CONDITIONS � ��i S i� <br /> �reS s <br /> 1. All calls for inspection shall be made 24 hours in advance •pf � <br /> 2. All work shall be performed in accordance wilh lhis permil anc r L " � 2� ��{ 3�'�'1 <br /> Standards and Specificaiions. `�j^Ci(--i'� <br /> 3. Call Loca6on Undergrour�d Service 48 hrs. betore you dig. TC ' �^ M��, nGCf.i-3�'�� <br /> �eASr'c� <br /> 4 . As per approved plan de�re3 5ji4/0:.. � _� ��v <br /> 5 . Frovide erosion cuntrol as 3irer_�,ac C4�nc1F-S '� � � <br /> 5 . I�eep �_it.y strc-ats cl�an ;:�r_ all �imF � e, �' � <br /> �.�G(�G i SS�a'r`� C�� <br /> � � � <br /> ��IS,�'K} PXiS�`0� Wl2�W � <br /> � W� �-lsar+r� -�w �Zc� Z <br /> '� O <br /> G5�1mat'FC �Y' <br /> �� � t {�ntc 1 cvnne�f � <br /> Q� C.JGi�CfmA:n /�G�oC[.'�iM. � . <br /> Li� �, <br /> � <br /> I' <br /> ONS <br /> � v� io!tl and <br /> ...............�....,..��. „�..� �. ������..���a��y a��u a���laims lor <br /> A pmved lor Constmction Da � damages,cosis, e:penses,or causes ol action Ihat may arisc <br /> 6ecause of installation and maintenance oi the imFrovemeni c� <br /> other right-ol-way use hereto applied for and lurther agrees tc <br /> remove same upon notice from ihe City and to replace publir. <br /> FINAL INSPECTION property damaged thereby. <br /> Approvetl as ConSimctetl Dale <br /> SignaWreolAppl¢am Dale <br /> WC'iK AUTHORIZEO BY THI3 PERMIT MUST BE STAqTED WIhIIN iB0 OAYS OF DATE PERMIT IS ISSUED AND 7HEREAFTER IS TO BE DILIGENiLY PUic1��.���� <br /> TO COMPLETION.THIS PERMIT MAV BE CANCELLED BV THE CI7Y UPON ANY STOPPAGE OF WORK ON 7H15 PROJECT OVER 90 DAYS OUFATIOY. <br />