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PUB��c woRKs <br />PERMIT <br />PUBLIC NlOFKS DEPARTIv1ENT <br />3200 Cetlar Street <br />Everelt WA 98201 <br />�a25�257-88�0 <br />OVR1ERtIntdE XVtS - " YiVNM AFPLIGAN7NAtdE <br />ltJDADURE55 832 52ND ST7tEET ��flDAODRESS <br />EVERETT 61x 98203 <br />PHONE 4252529345 <br />TAx PnRCEI I D a <br />DFSCRIPTiO�J OP <br />PROPOSEO VJORH <br />PERMIT CONDITIONS <br />PHONE <br />_._ ,. ._ .�. , .�. , r <br />Date <br />PubLc Works Permd x <br />Building Pernnt a <br />Plannmg Reterence s <br />Pub:-. Works Fee 5 <br />Guaranlee G <br />aROJECTAODR'e55 $j? jtj� <br />l0/31/2005 <br />Po0510-092 <br />50.00 <br />1. All calls lor inspecUon shall be made 24 hours in advaoce - phone (425) 257-88�0 <br />2. AII work shall be pertorm2d in acwrdance wqh Ihis permrt and current Ciiy ol Everett Design ar.0 Consiruchon <br />Standards antl Specihca!ions. <br />3. Call Location Underground Seroice 48 hrs. be(ore you dig TOLL FREE NUMBER 7-800•424-5555 <br />4. CALL THE PllBLIC fdQRRS IN5:i:CTUR AT 925-339-7403 TO SCE�DULE A t�E7'ING PRIOR TO <br />BE6INIJING �UNSTRUCTION. <br />5. I�EP CITY STRF.ETS CLE.4i1 AT ALL ?iMES DURINu COkSTRUCTIOH. <br />�, ./Vl/-�X l,v � D7"�l = 2 �' <br />U - �l- <br />„�,��,����,�, ��„�„���,�, � �.,,� l-(3 -1 G <br />� ��{JJ=—�l <br />�RNAL I PEGTI� � I <br />AFprovetl as ConsimUed Ua�e <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Z <br />O <br />H <br />� <br />O <br />a <br />The undersigned owner/appticant hereby a9rees to hold �nd <br />save harmless the City ol Everett Irom any and all clan�t br <br />damages, cosls. expenses, or causes ol action Ihal n a, ::nse <br />because of installahon and maintenance of Ihe improvemenl o� <br />olher nghbol�v+ay use herelo applietl for and luriher agiCes to <br />remove s me upon notice from the Gty anC to replace publ�c <br />prop r y�damagedRheretiy. <br />i <br />n� . ��� i7 �Q L/�%� / <br />G'9Pa ur���p�(ca/�t %� �e / <br />P�ORK AU �H0�7IZ[D �V 7'HIS PE��d1T PdUST BE STAqTED W�THIN 100 DAVS OF DATE PERldll iSISSUED.�N� iHERE�FTER IS 70 BE DIUGENTl,V PUFSUED <br />TO COtdPLETION THIS P[R�AIT MAV 0E GANCELLEU BV THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS OURi�TION. <br />