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PUBL1�: WORI�S ` _,�e . ��,_,,;,� <br /> PERMIT PublicWorksPermitA �.�,,.�,�-_�� � <br /> BuildingPermit# P.!'t�Gn-(yl <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 90201 Pu61ic Works Fee$ �_��, i�,� <br /> (425)257-8870 Guarantee$ <br /> OWNERNAMEy61ENDF T:a�r�; :. ;:T,•i`�•! APPLIf.ANTNAME <br /> AND ADORESS.' AND ADDRE55: <br /> 11>.12 ::'F:D FI, ';E <br /> -,��Lrr �.::. ._ . <br /> PFIONE: PHONE�. <br /> TAX PARCEL I.D.# � . PFOJECf ADDFiESS: <br /> _':i�4.i`iliy�nc.,:q:1 'tf-+>i: _ JF.G f!i: `it. <br /> DESCRIPTIONOF •;•rrr.n�i7�; ii . ,? <br /> PROPOSED WORK: � � <br /> PERMIT CONDITIONS t�'? : , :;:A_'T :. F EYF.F.�T.T L:.'� _'ai <br /> 5< . <br /> 1. All calls for inspection shall be made 24 hours in advance-phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Lecation Underground Service 48 hrs.before you dig. TOLL FREE NUMBER 1•800-024-5555 <br /> W <br /> i. r . ':'.� ..: 31C .�. . _ . _ c�..S li7Y. .. -1{i1..iL_' :. . ,+nt .. St. i�4 � <br /> . . I:. . _1�.��� �..'.1�� . . . .., , . .. . .. . . !:'x � ._i:. � � fll�: � . _ �.. t'. �w <br /> . —/ <br /> .. . . ~ .� •.� � <br /> .. O <br /> � <br /> � <br /> „ • O <br /> .�a � <br /> .. n:W Ti �_ . <br /> '• K, �� ' .. _I <br /> ' O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �"� � The undersigned owner/applicant hereby agrees to hold and <br /> ; _ ��;;,��'�;..;n..y`:, , f,�,�1f,..��� save harmless the Ciry ot Everett irom any and all claims for <br /> npproved'mr ConsiNction oa��' damages,cosis,espenses,or causes of action that may arise <br /> because of installation and maintenance of ihe improvement or <br /> other right-ol-way use hereto applied for and further agrees to <br /> remove same upon notice Irom the City and to replace public <br /> FINAL INSPECTION property damaged ihereby. <br /> Approved as Cons�mC�ed Dale . ; . �- <br /> . � j I Y�!,.,'1 -(/Ah <br /> iSigh�APy;ican�� � Date <br /> WOf7K AUTHORI�ED BV THIS PERMIT MUST BE STARTEO WITHIN 1B0 DAVS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PURSUEO <br /> TO COAIPLE710N.THIS PEFiMIT MAY BE CANCELLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 OAYS DURATION. <br />