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PUBLIC WORKS Date 7l11/3f'0° � <br /> Public Works Permit#P W0 5 0 7-019 <br /> PERMIT C0507-013 <br /> 6uilding Permit R <br /> PUDLIC VJORKS DEPARTM[NT Planniny Refrrence a <br /> 3200 Ceder Stmet s:5.��� <br /> Evcrelt,WA 9d201 Public Works Fee 5 <br /> (425)�5 88�10 �OV 1 II Z�05 Guaranlee 5 <br /> �... nSTING <br /> OWNER NAM " "" ''�'�' ' "�5~ APPLICANT PIAME <br /> ANDADDFESSj�U� 11�4TH FL iiE ANDADDRESS: <br /> EVERETT WA i9'��;,5 <br /> PHONE: 9c 5���(i7��r� PHJNE: <br /> TA%PARCEL I.D.N " "��i "'''�� �' �� PROJECTADDFlLSS:��1 d v n 1' L � <br /> NFW H�,�I�E - %A�7r tc:, _ _ <br /> DESCRIPTION OP <br /> PROPOSED WOPK: <br /> L\. ..��1 CLi: .l�'r :. Jl <br /> P[RMIT CONDITIONS <br /> 1. All calls lor inspection 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 o(Everett Design and Construction <br /> Standards and Specitications. <br /> 3. Call Locaiion Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 9. Cannecr nide se•eec pec Cir.�• ;r_;i�daed P':, e;ii1, ru'�. 6u4. W <br /> [i . F.OpTt4j, iunoif 1(�UC�.0 t�:._• (�1�:'}IdC�il'-'':1 T.O i COOf dpWn9pOut 111{11Ttdtlb❑ 9�j::['I(i p�1 Cl'-J � <br /> of Evee�rt Stotm I4anual )-:.E.2. Tha d�,pLn••imate �ize tLen��h i:, _ .5 ' Wide, Z' dee�.� � <br /> and 25` lony. S�- 3ttichment foc moie �:i�tails. - � <br /> �•. TII� �:OI7tC3CtGC�16U;t meeL with rhe Fubli�: f��,cks Inspe�:Lue to diaru�s. petential - � � �, <br /> cicaina•i� i��uting p�wi to be,:�innin;l th., pr.,j_�•t . , . J_ , „, � <br /> 7. In,tall ecosion route�l measuce, pec City~of Evecerr :itand'a�c�s fnc:sfqa�l pacce?s O i <br /> c. <br /> 8. F,emi�ve �cosi.on C'OI12L'OZ m�asuce� upon compl=-ticm c�f the (�coject priot to firial ; <br /> aF•r.coval o? rhe peemit.. - � <br /> �_� �_' Z <br /> O <br /> ' � 1"' <br /> ,-„ 'A <br /> , <br /> ' � V/ <br /> , . , , _ � -� � <br /> , a <br />� ACKNOWLEDGcMENT OF CONDITIONS <br /> The under,igned ownedapplicant hereby agrees to hold and <br /> „�i� �.�� 7 / a5 save harmless the City ot Everett irom any and all claims for <br /> n pmven lor Cons�mction aia damages,costs,expenses,or causes ot action Ihat may arise <br /> because ol installation and maintenance ol the improvement or <br /> / otl Fr righl-of-way use herelo applied for and further agrees to <br /> � �� _,�l��`y� remove sac�e upon notic�from tne Ciry and to replace public <br /> AL INSPECTION _ property damaged thereby. <br /> Approvetl as Conslmcted Oate �� �S S <br /> ,�c.�.�4-s..�.v-- 7 Z.�S- <br /> Signaiure ot Applicant Dale <br /> WORK AUTHORIZED BY ThI1S PEFMIT MUST BE STAftTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGE�TLY PURSUED <br /> TO COMPLGTION.THIS PERMIT MAY BE CANCELLED BY iHE CIN UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />