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PUBLiC VIi�RKS °"° - , � <br /> ������ PublicWorksPermilN YW0505-037 <br /> CO50b-045 <br /> Building P^rmit" <br /> PUBLIC WORKS DEPAPTMENT Planning Reference N <br /> 3200 Cetlar Street <br /> Everett,WA 98201 Public Works Fee 5 =�� •�� <br /> (425)257-D810 <br /> �'Q Pl7ST�NG APR 1 7 2U06 �uaramee S <br /> U!NNER NAME � - � '�- APPLICANT NA�dE A � .- . � _ <br /> nNUA0DRF5S:F�� $��y G1�� ANDADDRESS: PL, �L�}r p��� <br /> �LIi�"f'�1J WA 98�3i, r_LIMT4N GIA �82;:6 <br /> rFioNe 9257768041 PHONE 9=�+ �7G8f�°-? <br /> lA%PARCEI.ID.a litlllUilj �,ill PROJECTADDAG55-ti✓.'.� 9�'�TA JT 'i?. <br /> ' v.: <br /> D[SCRIPTION OF <br /> PROPOSED WORH. <br /> i_r:i.:. p:�� ._a <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance-phone (425)257-8870 <br /> ?. All work shall be performed in accordance with Ihis permil and current Ciry of Everett Design and Construction <br /> S�andards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> -l. C�,nne� r ide ��w_c E��- c f � __ ,Y ,- in�j�3[�� x�.U:� � <br /> � . - ni��- .. i� - -�•:.i. .i_tim E.�. u��� t t,� �:L� .�ii �._i_ - - �--�m }���. , _..�;1 .�.,z :h�c lot . <br /> ��/� <br /> _ V� I <br /> W <br /> � �.F�r�i 3' . O <br /> i <br /> � � <br /> . � <br /> � <br /> �[r:� � <br /> .n <br /> M/ <br /> . .. .. . '. . O <br /> � <br /> ACKNOWLEDGEMEMT OF CONDITIONS <br /> 7 The undersigned ownedapplicant hereby agrces to hold and <br /> n - �G� / Q _ save harmless the City of Everett from any and all claims for <br /> p ovetl ror Co stmc�ion � io damages,co,ts,ezpenses,or causes of action that may arisc <br /> j6ecause of installation and maintenance ol thr,improvement or <br /> / L � i olher right-ol-way use herelo applied for and lurther agrees to <br /> L✓� '-�. .- �/ O(�� remove same upon noAce Irom the City and to replace pubiic <br /> FINAL INSPECTION ' pmpe d ma t ereby. — _ <br /> Approvetl as Constmcted Date <br /> / ��^ 7 � � 5 <br /> SignatureolAp�;l;.ant Datn <br /> W'OFK AUTHORIZ[D BV THIS PERMIT MUST BE STARTED IVITHIN 100 DAYS OF CATE PER�dIT IS ISSUED AND THEfiEAFTER IS TO BE DILIGENTL`!PUHSUED <br /> TO COMPLETION.7HIS PERMIT 1dAY BE CANCELLED BV THE CITY UPON ANY STOPPAGE OF YlOHN ON THIS PROJECT OVER 90 DAYS DURA7ION. <br />