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PUBLIC WORKS Date ��19/2002 <br /> Public Works Permit u p{q0207-014 <br /> PERMIT BuildingPermita 80207-038 <br /> PUBLIC WORKS DEPARTMENT Planning Reference a �.. <br /> 3200 Cedar Street $305 . 00 <br /> E(425)257-8870' TO POSTING MAR 7PLY�er�SFceS <br /> OWNER NAME APPLICANT NAME <br /> ANDADDRESS. pO BOX l003, W)1OlOSLB ANDAODRESS: pO BOX l003, W�OlO1LB <br /> EVERETT WA 48206 EVERETT W11 98206 <br /> PHONE� 4zS2E1S4OH PHONE: 4252615408 <br /> TAX PAHCEL L�.x PFiOJLCT ADORESS: 2 H aVE SE <br /> DESCRIPTION OF <br /> PROPOSED WOfiK� <br /> P[RMIT CONDIT�ONS <br /> 1. All calls(or insnection 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 Everetl Design and Construction <br /> Standards ar;d Specificalions. <br /> 3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> 4 , as per the approved plan dated 8-26-02 and the city public v�orks W <br /> inspectors directlon in the field. � <br /> V/ <br /> W <br /> ;,� - -::- , O <br /> _ -_VYl'.iB � <br /> '.�:_D '+1:,_. � <br /> � ���� ' O <br /> i G'.)%�ll:,v <br /> �,)1!''Lil _'Q{).Si) � <br /> r <br /> 7'i::� 4 � i"i <br /> ^ld!iivw �'G,';IC' � <br /> IJ%(�l3F' :'G.. iD � <br /> -'ie%]N;F _�J..;G w <br /> --��'A� i��.53 Ii <br /> a'.F {_ ' 7_: 5.'. <br /> .. v�"r�ui� <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> _<��(',�.�X/' '� Gh�`� V/�(�/� The undersigned ownedapPlicant hereby agrers to hold and <br /> Z save harmless Uie City o1 Everetl trom any and all claims for <br /> nppmvetl br Consimc�on Da damages,costs,expenses,or causes of action that may anse <br /> because of installation and maintenance of the improvement or <br /> � olher righbo4way use hereto appiied br and further agrees to <br /> 2—2�—u3 remove same upon notice lrom the City and to replace public <br /> FI�dAL INSP T ON property damaged thereby. <br /> ApprovedasConstmcted Date � ^ ` �Q/7/�'� <br /> //i ' <br /> Signature ol ApO��cent 9 t� te <br /> WORK AUTHORIZED 6Y THIS PERMIT MUST BE STARTED WITHIN 1B0 DAYS OF DATE PERMIT IS ISSUEU AND THEREAFTER�S TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAV BE CANCELLED BY THE CI7Y UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />� ' <br />