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/ <br /> " PUBLIC VIIORKS �.,�� =;�; - , ` <br /> �ERMIT PublicWorksPermit# pW0506-6 ;: <br /> (_'0!_,Ob-ijq� <br /> Building Permit u <br /> PUBLIC WORKS DEPARTMENT Planning Re�erence M <br /> 3200 Cedar Street <br /> Everett,WA 98201 Puhlic Works Fee 5 - <br /> (425)257-BB10 •�- • . <br /> Guarantee S <br /> 0:7NER NAM[ F fi D PAFF CREEF{ LLl- APPLICANT NAME <br /> ANDADDRESS: - ANDAD�RESS. <br /> YO R6Y. 910 <br /> CLINTpN 4i.i1 9E�?r". <br /> �� �OSTING _:i�l . : ��.;� <br /> _ __ - —_.... <br /> r�ioNe: q�577b8091 PHONE: <br /> TA%PAqCELID.p ��1��q�����,����`-,��, PROJEGTADDRESS: ,il_� A��1H ST SL <br /> []FSCRIPTION OF {r' -- .� <br /> fHOPOSED V10RK� <br /> PcRM1T CONDITIONS '=�"��E�:"�: ?'�:'T =� <br /> 1. All calls for inspeclion shall be made 24 hours in advance- phone (425) 257-8810 <br /> 2. All work shall be perlorrried in accordance with this permit and current Ciry of Everelt Design and Conslruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBEH 1-800-424-5555 <br /> �1. i'�;nnecr ;�i�:e �r.,r�r �,..-:t� C,t}: �,f 3tan�iar�i ii60L W <br /> , C.�71IIE"t C"vnICGI� i�i�W113f��7lli� ;_ Tfl3 •:jLil!]d';1'-' �_J['.L�lii friOl'1�.�2i� fOr i}115 IriC . �� <br /> � <br /> W <br /> O^ <br /> r <br /> Z <br /> O <br /> r�yw. <br /> V/ <br /> 0 <br /> I � <br /> j ACKNOWLEDGEMENT OF CONDITIONS <br /> � The undersigned ownedappl�cant hereby agrees to hoid and <br /> � _�_�d�Z��Z. 7 � .S save harmless the Ciry of Everett fmm any and all claims for <br /> n royeb I r Cons�mction aie damages,wsts,expenses,or causes ol action that may arise <br /> % / , / 1 because o�inslallalion and msintenance ol ihe impmvement or <br /> � / /// . �' other right-of�way use hereto apptied(or anA furiher agrees to <br /> '�`��' � .�L�f-�- �� /'� �� L'__ remove same upon noti iro�the Ciry and to replace public <br /> �FINAL INSPQ TION i prapert d5� ed t¢ei <br /> Approvetl as Consinicletl Dale / <br /> i' <br /> Signalure A � ¢ant Date <br /> lVOf7K AUTHORIZED 9V THiS PERMIT MUST BE STAFi ED WITHIN 180 DAVS n.`DATE PERMIT IS ISSUE�AND THEFEAFTER IS TO 8E DIUGENTLY PURSUED <br /> TO COAIPLETION.THIS PEFMI7 fdAY BE CANCELLED BY THE CIN UPON ANY S7GPPAGE OF WORK ON THIS PRGJECT OVER 90 DAYS DURA710N. <br />