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��� <br />�,., . <br /> PIJBLIC VVOI��CS ��,�° ';�"�°°`' <br /> PublicWorksPermil �: FG7u�07-027 <br /> � - ����� ■ Building Permil a <br /> .� �� PUBLIC WORKS DEPARTAIENT Planning Re:=rence:; <br />��-���� 3200 Cedar Street <br /> k �` � Everett,WA 98207 Pubtic Works Fee S S=5 .U 0 <br /> �,,� (425)257�6870 Guarantee S <br /> � , j p, � JUN 2 7 20�5 <br /> � <br /> OJ✓NER NAME • � r' 7�i'ftfEANi�NAsdG� <br /> �r �` ANDA�DRESS: PU BOY. B1O ANDADDH[SS <br /> ^ � s° CLIHTON WA 9823b <br /> " " PHONE 3603919609 �rionic. <br /> TAXPAqCELI.D.p .. � GU�. I pROJCCTADUHf55 b '_ b �H S7' SE <� <br /> OESCRIPTION OF � <br /> PROPO;ED WORK: <br /> �S,�cjx:�fi��I�q bt,aly <br /> C UN6 TI��H'�i�'t7L Y _ 'F', � , <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance- phone (425) 257-8810 <br /> 2. All work shall be performed in accordance�vith this permit and currenl City ol Everett Design and Construction <br /> Standards and Speci(ications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 9. Connect .•ide sewec pee City Standaed N6�1. W <br /> 5. Connect cooftop dovnsp��uts to the drainage aystem pcoviiled for thi:: lot . � <br /> '�^ <br /> VJ <br /> � <br /> � <br /> � <br /> Z <br /> O <br />:,�;,; I-- <br />� � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> � LGL �/ /�n�/ Thc undersigned ownedapplicam hereby agrees to hold antl <br /> �-�5��E7�d�YL �/T/i' 7-- save harmless ihe Ciry of Everetl from any and all claims for <br /> Ap �ovetl lor Consimtlion �e damages,costs,ezpenses,or causes ol action that may arise <br /> �` becausr of insWllation and maintenarce ot the im rovement or <br /> �- P <br /> I` other right-ot-way use hereto applied lor and further agrees;o <br /> � �_.:6c. � �\ z.ti� -- ���- ��S -�=�� remove same upon notice from Ihe City and to replace public <br /> FINAL INSPECTION 1 property da:naged iereby. <br /> npPrwed as Consiructetl ., Date �� �,�' � bi_+I_�y <br /> J`� <br /> Signaiure of AFFlican� Datn <br /> WOFK AU7HOR2E0 BV THIS PEPMIT MUST 9E STAR7ED WITHIN 180 DAYS OF DATE PERh11T IS ISSUED AND THEREAFTEF IS TO BE DILIGENiLY PURSUED <br /> TO COtdPLET10N.TH:S PERMIT MAY BE CANCELLED 6Y THE CIN UPON ANV STOPPAGE OP WORK ON THIS PROJECT OVER 90 DAYS DUHATIO":. <br />