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PUBLIC WORKS Date o/3/2005 <br /> Pu���c Works Permit tt PW0506-UO3 <br /> �ERMl1'P C050b-Oi�S <br /> Building Pcrmit N <br /> PUBLIC WORKS DEPARTMENT Planning Relerence u <br /> 3200 Cetlar Slrccl <br /> Everett,WA 98201 Public Works Fee 3 ;?5.6 U <br /> (425'�.�,���ING_No v 1 U ZOQS Guarantee 5 <br /> O4VNER NAME ALEXAIIDEP. kEED CONSTTi0CTI0?I APPUCAN7 NAME <br /> ANDADDRESS: P.NDA�DRESS: <br /> PU B0:{ 14�5 <br /> MAF;YSVILLE WA �?B;'70 <br /> Pl10NE: jGUb571aJ� PHONE: <br /> 7A%PARCEI.I.D.a �80517(IO.iO31U!! PROJEC7ADDRESS: G�lb ��F.D 11VE SE fiLi.+P � <br /> DESf;RIPTION Of �� - • � - � <br /> PROPOSED WOHK: <br /> PERMITCONDITIONS SHC�F,T FLAT 12C7-017-ii2, LOT : <br /> t. All calls for inspeclion shall be made 24 hours in advance • phone (425) 257-8810 <br /> 2. All work shall be pertormed in accordance with this permit and current City of Everett Design and Conslruction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> �. f_�OIlI1P1^Y .'.'ltji� F.@WC per ri.�y �it3llij3L'd ��9 FJI1�1� 011_/� F�(j�j, W <br /> �. F•iofta � Lunuff must bu �:lisch;ice: f r <br /> F � 1 to a roo iln�yp��i�t iniiltxatic�n sy�tem p�� plrit � <br /> Y?��U1L'W��IiT9 (SE'� dttdChEd'/ //� <br /> 5. The contcacto� must muet with th� Public Wotks Inspect[�[ to iliscu�s potenti��. .���+ ��� <br /> C�C31I73CJ= C011illl�7 �'C1pC �O heg:nnimT Y_jl'r_ PCO]P�_t. . ,.,..-i_. �_,. .. � .,�._�.-• �5 1. /r� <br /> -� ��a <br /> 7. In�tall :.resion concr.>2 m�asuces F,a� ryty nf EvececC-;2<en !&�.��''f�K �a3'Ypaccels O <br /> Si. j�rl�nyF a��iFiiV❑ �?pI1tC�j1 I�i:d�q1'«_5 U�iC�ll Qi.i(1�?jCtlp❑ ��f Y-[1b �S�.Y_�3T!�..� ��i]�L_�V t�lll�� <br /> appc�_val of th� p�imit . r' �,, :. � � ' <br /> T.. _ iF -' - ' --'- -� _,,. <br /> ` r y <br /> ;; `=;-{ � <br /> .�, {� <br /> � <br /> 'y� O <br /> 'r'� � � � <br /> �.'� . c� tr�E» - <br /> i � M r n cr�--- L� '^ <br /> '� Cl� J�-��.1 I _]a � Cp � <br /> d� � V� <br /> � L��' -.l� �� - O <br /> 1 <br /> ;, _ a <br /> _ ACKNOWLEDGEMENT OF CONDITIONS <br /> ���1� �� �S The undersigned ownedapplicant hereby agrees to hold and <br /> Q save harmless ihe Ciry of Everett lrom any antl all claims tor <br /> pro��etl lor Conslruclion nte damages,wsts,expenses,or causes of action that may arise <br /> because ol installation and maintenance of the improvement or <br /> �/�� .�i olher right-of-way use herelo applied fnr and further agrees to <br /> � ' • vG.r x-+--i/-" i�' —�=j remove same upon notice trom the City and to replace public <br /> NAL INSPECTION ((( p��Aro erty damaged there y. � � <br /> ApprovetlasCnnstmc;etl Dale v/�� `G�'�' � �j/�/Q� <br /> � � <br /> Signaturc ol Applicanc Dale <br /> WORK AUTHORI2E0 BY THIS PERMIT h1UST BE STARTED WITHIN 180 DAYS OF DA7E PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE-CANCELLED 8Y THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />