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iI1yi !�rt�w '�■y• / <br /> R \�i/�I� -■ ��I�� Datc _;'ir.;'��jpF <br /> Public Works PernEtSi.0502-1i�7 <br /> p�RM17' �050�-0__ <br /> Building Permit p <br /> PUBLIC WORKS DEPARTMENT Planning Relerence u <br /> 3200 Ceder Slrect <br /> Everen,WgA 982p0�1 NOV 1 8 2005 Public Wnrks Fee 5 5�5 ,c,,, <br /> (425)2 '`t�f�� 1 IIV�,Z Guarantce 5 <br /> 'i OP:PlFRfy(�td APPLICANT �.n <br /> ANDAODHE�: n P�R CREEK LLC ANDAD�R[�^� <br /> �o sor. 910 <br /> CLINTUN WA 98[35 <br /> Pt�oNe q�577b8041 PHONE: <br /> 7AX PAqCELI. a^ � PppdECTADO ��5� <br /> �1�90_�3009G00�] �,�t� 96TH ST SE <br /> P 70POISED WtlMC! x'�v�E (A-3) <br /> PERMIT CQNDITIONS CAFIBEFLY PLAT L6T 39 <br /> t. All calls tor inspection shall be made 24 hours in a�vance-phone (425) 257-8810 <br /> 2. All work shall be pertormed in accordance wilh this permit and current Cily of Everelt Design and Construction <br /> Slandards and Speci(ications. <br /> 3. Call Localion Underc�round�ervice 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800•424-5555 1, 1 <br /> 4. Cr,nnect side aaam� per City 5tandacd 1'r,Dl aftac :.ewer lift .^,r.ation i: completed L�. <br /> and ap�iec�ved. o <br /> 5. Connect coi�ftoF� cl�wnsp_�uts t:� the clrainage sy�tem piuvided fc�r this lot.. � <br /> - 3.F"'� <br /> ri <br /> �--��--r r��—F-i-- �,� �- WI <br /> �r�rn����s��� :� <br /> � � � O <br /> i�i fn�i <br /> �.. �� Z <br /> �;; , O <br /> � <br /> � � <br /> :"LTI.n:' o .n � `? I"� <br /> �--� �yr�_��^c6n��itianm � Y/ <br /> ��.�����;., or�. <br /> 0 <br /> :iLT�rB'.£_','��co��conN �'m V <br /> c-�<>r_.� <br /> -a:�.�- <br /> f�� � <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> ��///��, �j p The undersigned ownedapplicanl hereby agrces to hold and <br /> ��-,�M�/�L�J-'C�f12� 2 O/OS save harmless the Ciry o�Everetl Irom any and all claims lor <br /> �pproved lor ConsVuclion atn damages,cosls.expenses,or causes of action ihat may arise <br /> r-� because of installation antl maimenance ot Ihe impwvement or <br /> �� �, �•��ti ��-� �-r, ,.�� ��_�C/- �'�' other right�ol-way use herem applied lor and futlher agrecs to <br /> remove same upon notice Irom the Cily and to replace public <br /> FINAL INSPECTIpN ;�. property amaged thereby. <br /> Appiovetl as Conslmcletl Dale <br /> 7 � <br /> _� �.-�,. -- ��'-1='J"-- <br /> Sign e of A iwnt I Dat� <br /> WORK AUTHORIZED BY THIS PERAIIT MUST BE STARTEU VlITHIN 180 DnYS OF DATE PERMIT IS ISSUED AND 7MEREAFTER IS TO BE OILIGENTLY PUFlSU[D <br /> LO COAIPLETION.THIS PENMIT M11AV BE CANCELLED OV THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 9U DAYS DURATION. <br />