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<br /> , �uBL'C �O�(�c Date b,�:;20D5
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<br /> PERMIT � _- P�b���Wo�ksPe�m��# PWOSJb-002
<br /> ,i'-` ;-,,:fF'1; 0�,.,, cosr,6-oo�1
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<br /> - -� -��F '� Building Permit k
<br /> PUBLIC WORKS DEP RT � r�
<br /> 3200 Cedar�Sir�et�����};^;�'��, � Planning Rolerence k
<br /> :�� Everet7,WA 98201 _ pu61i�:Norks Fee S :�5.0 0
<br /> (425)257-8B10i...!:�;1. }i,_�j�l, :�';
<br /> �. I� �-: Guarantee 5
<br /> arc+�.w�.nor.. rr^.i ... ;-
<br /> ONJNEHNAME . ���`-'• �•I .. ' ,�.�.• ���'.
<br /> AND�f7DRESS: pU BO}; 14p5 I:� , � APPLUANTNAME, •.�
<br /> -E'- AIvD ��DRES§� +:'
<br /> MAi''YSVILI.E �� �;�����,,, ? TO POSTiNG DEC 1 8 2005
<br /> .ibOG�71`?�� � lf�,f.;l.i] —���-��
<br /> PNONE: �. "��h' PHONE: «��,��-���
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<br /> � t�'�'. iG'; fl,�"1F,i;ij
<br /> TA%PARCELI.D.a "^ ��•�� � � �
<br /> 'tl:�`. PROJECTAODRESS !.' �- .- -._ : ! . •t, � j,�:!T q
<br /> NEW Hult_:E - Ehnt� 1y�, -� ' • ,..,_
<br /> oEscaivnuN oF -
<br /> PROPOSEDWORK� I,:Yf.. �`, ... . .--'�,�.,jl,:';,>..�.
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<br /> PERMIT CONDITIONS ' �
<br /> 7. All calls for inspection shall be made 24 hours in advance- phone (425) 257-8810
<br /> 2. All work shall be performed in accordance v�ith this permit and current City ol Everett Design and Conslruclion
<br /> Standards and Specifications.
<br /> 3. Call Location Undar�round Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555
<br /> 4. Connec= s�de se•,�;t per ri'_�• Sran�iacd �'s 6�i1. 6n� r04. W
<br /> 5. F�o,,�itop cunoit must b� ' ' �—
<br /> _ ili�•:hac�;��d tn � ���,f do�nspuut in2iltca[ion sy��tem p�i pla± �
<br /> ie��viremenry (seF attached; " 'w
<br /> 6. The contractc�� must me�t vith the Fublic Wo:L:s Insp:ctor tc� cliscuss potentiai ",
<br /> �"_'Lu1.i139� YOUt1qCJ �)C1C.0 Yq �;r:;;]1011llly C}l� (�[p]P_rY. /�
<br /> 7 . ln:7ca11 ?�q�1011 i'O11CL'i�l Ih233lIL�;; F�CC ('1CV [�( EVE-�?tt Standac:is f_�C SlAcill W
<br /> 9. RNm�,ve erpsi�.n ?nI1CYp1 Ifli_d`JSIYPi �1�iG❑ �7f�10��jPt1O❑ lif th� :•eo @�. F'�C:'�1$ O
<br /> a � �c� i ) 't �:eiue to final
<br /> � F �val of the pertrit. �
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<br /> ACKNOWLEDGEMENT OF CONDITIONS
<br /> �7.JL'Yl��JlF�c`-L N �¢�r� The undersigneC ownedapplicant hereby agrees to hold and
<br /> � save harmless Ihe Ciry ol Everett irom any and all claims lor
<br /> ap rovetl lor Consuuclion 0!ee damages,costs,expenses,or causes of action that may arise
<br /> because of installation and maimenance oF Ihe improvement or
<br /> _ '� other right-o(-�•:ay use hereto applied foi and further agrees to
<br /> remove sam�upon notice trom the City and to replace public
<br /> AL INS ECTION pr edy damagetl ihereb
<br /> Appmvetl as Consiructetl �Z Dat� C9 — L�� ' . ���� / 7/�/G,_
<br /> T u�Lft
<br /> SignamreolApplicam Date
<br /> WORK AUTIiORIZED�Y TIi15 PERMIT MUST 8[STARTED WITHIN 1B0 DAVS OF DAT[PERMIT IS ISSUED AND THEREAF7EF IS TO BE DI!IGENTLY PURSUED
<br /> TO CO�dPLETION.THIS P[RMIT MAV BE CANCELLED AY 7HE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION.
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