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PUB��c woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMENT <br />3200 Cedar Slreet <br />Evereit. WA98207 <br />(425) 257-8810 <br />OWN[RNAME <br />ANDADDRESS: _ r,�jr;'1; . ' <br />,�'.LF n�:" ..:�� !!'' <br />I ;'.�'J"!$�'li�i_'_ ,. , <br />PH�NE: _:r_ii�.r.r�`..':... <br />TA% PARCEL I.D.# <br />Dale <br />Public lVorks Permit � <br />Building Permi� u <br />Planning Reference # <br />Pu61i� Works Fee 5 <br />Guaranlee S <br />APPLICAN7 NAME <br />ANDADORESS: .,.. �'ii�.`-i':'!�.�,f�c�aq�.li; <br />FHONE: �.�:�.:� . .[.:li�f�. <br />PROJECTA�DF7E55: <br />�i�q . �,.. .. .' <br />OESCRIPTION O� <br />PROPOSED WORK: . _ �GC7'7.'.!�.-: . ..0 r' . �.� . _. ' "_ . _ . . . <br />PERMIT CONDITIONS <br />z-3zz- ¢cr.: <br />1. All calls for inspection shall be made 24 Y�uurs in advance. <br />2. All work shall be per(ormed in accordance wi�h Ihis permit and current City o( Everetl Desiyn and Consirur.tion <br />Standards and Specifications. <br />3. Call Localion Underground Service 48 hrs. before you dig. TOLL'REE NUMBE9 1-800-424-5555 <br />. .. :.. ... .. . . . . . . . . i. ... :I� -_. <br />e legging technique:: th�t rainimi;.e 3G1]8 d: - _._ __. <br />'=tain sma2ler txee� wiihin ceiticai and assaciat�;t <54� sL;�pe tha* t�a�_a� c��-... : <br />�a. a �; <br />�plant. a11 *.re�� cu3nvecl from vetlam:l, huif=r and si•�p=_ @.'t:l ratio'"with :.+� c <br />.�;•-rcgeeer and daciducus te�,^es, t4iniwum h�:ight �hould ba 4'. <br />;:.p�ic•3nt i� ca:;ponsihl� ft�r ok�tel:ting a ior.est Practices i�Acmit frem�epartem�,': <br />. .`.717:d2 k2�DUC5��1, li C+��ttiEa�j. <br />4+� <br />.� <br />:� tL?e> mu�t Y.« iell?d rasy fx_•a the Fiyeo., Cr?ek rip�risr 9cea _>r3�s,,K�y�iatu.; <br />�r.d. �,ti-r.'�;�; <br />. ��.:? ay�aipm�nt fltllll'GLI� FlC'2'5 dI'ICi �03�4 9i1:+✓fl 07! Bt:�C11c.r; ryg�y, �_ � <br />. .:::It1n981 n.` YL'�?o.R 4R d��l: � . , . .. . _ ' � � � . ., ' . ." <br />� ...:`1J':c�; h'a j��^r.[.._ti,� r.::0y.. <br />r' ACKNOWLEDGEMENT OF CONDITIONS <br />" � �? The untlersigned ownedapplicant hereby agrees ro hold and <br />� ,_��i�N;: �1 �/ � �� �'7-' save harmless Ihe City ol Everett Irom any and all claims for <br />Approved lor Conslmcl on '' oale j(� y� damages, cosis, expenses, or causes of action that may arise <br />.. � , because ol installation and mainteoance of the improvement or <br />/ ^ -� other right-ot-way use hereto applied for and further agrees to <br />- �� �/ v�_ remove same upon nolice irom tha Ciry and to replace public <br />FINAL INSP iON property damaged �hereby. <br />Appwved as Conslmcted Dale � �+ <br />ii.�./,^ .- .. �'��i��<.`'. <br />_____ Si�nBNie ol Applicant Date <br />WORK AUTHOPIZED BY THIS PERMIT MUST BE STARTEU WiiHIN 1d0 DAV3 OF DAT[ FEFMIT IS ISSUEDAND THEREAFTEIi IS TO BE DILIGEN7LY PURSUED <br />70 COIdPLETION. THIS PERMIT MAY OE CANCELLED �Y 1HE CITY UPON ANY STOPPAGE OF WOPK ON THIS PROJEC70VER 90 OAYS DURATION. <br />GP W P q;06) <br />OATABAR.INC. <br />/ <br />/ <br />W <br />� <br />V+ <br />1.1,1 <br />O <br />7 <br />L. <br />O <br />,�A <br />V+ <br />O <br />a <br />c <br />