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PUBLIC WORKS Data „��-����� <br /> PublicWorksPermitu P�.���`G3-014 <br /> PER M 1 T Building Permi�N <br /> PUBLIC WORKS DEPARTMENT Pfanning Relerence a <br /> 3200 Cedar Sheet Public Works Fee 5 ���'-�� � �'� <br /> Everen.WA98201 <br /> (425)257-8810 Guarantee S <br /> OWNERNAME :,;�.�,_�jC� (�YUB�,{BC APPLICANTNAME �,U��aLi� Y.YU�'C "Y <br /> AiJDADDRESS: � ANDADDRESS'. 7 <br /> 5403 �51�T� A��. P7 `i402 :'St}i AV? h' <br /> Ev�_r�tt :i..� : _:?63 Ev�.r�tt W;1 .+:= _,.i' <br /> PHONE: �I?.E:`.:.,"11 ��'.i� PHONE: G�[j?54 y^,�� <br /> TAX PARCEL I.O.k PROJECT AODRESS: �4 U� �')�=rl A V E� W � <br /> DESCRIP710NOF � �l ,�yil11U I;IctCi:).��'111�:5 dL�� 1i11C1�_''.'}�2L15)t fYUfi ��UI�liA1� Of <br /> PFiOPOSED WORK�. - ' <br /> i.UC <br /> r:��,�,�,��� rr��:t—i'fctt;.V� VF�C(Bt:irLOI'l WlY.r11Y1 �t1F WOL�: •"iC"d <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shall be made 24 hours in advance• phone (425) 257-B810 <br /> 2. All work shall be perfoi:ned in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specific�iions. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 � <br /> 4 . No gradii�g a� lo�.v,=�:1 c,t:.��,=�r t.Lan smuutliin4 of: nui�ior �;�_�rfac� � <br /> 1L YB��U1.9Y'1C.1B:: . � <br /> ^ . NO (3if]�.�ll]C( OC 1(tt[Jd�1':. LLCfIl fI1dC�11:1�� wUYi: Wl�:�lltl C7A� 1�11[J—L111�: �!t lu�:' /A <br /> �_•xist.inq cur:if?rs that. wou13 cause damage is allowed, ��� � <br /> A�_ ttew pini ' �� ' , - ^ 11 li�• tz�t-iv.., M <br /> i i ,* :�i- � wi! h�ti + t:e .�„r�- �t � -� .:h� <br /> Aiiy }i�clg.. ����,�:rr ,�� r � . _� ,,:; t �i�: ?��,i 1. i�: nz,,- i_ iy lii.�. rit:._r aon:.i .ai. r�i Y�I <br /> r. �..iv� pl�intiu�, _ O <br /> � <br /> U6-U7-U� i�.14f'h; O <br /> t� U206014 <br /> �T�cR =G.OQ <br /> �-0?'A� �C�.00 ��/�, <br /> Cl-�E_t;. -V�' <br /> 4 �"!S'i:'� O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersi3ned owner/applicant hereby agrees to hold and <br /> � ��J�� � (p Q' save harmless the Ciy ot Everett irom any and all claims for <br /> A proved lu Conslmclio damages,costs,expenses,or causes of action that may arisn I <br /> ///��� i because ol inslallalion and maintenance of the improvement ur <br /> � /���/� ✓'/� �//�/� other right-obwaPy use hereto applied lyr and futlher agrPees[o <br /> �� i G j�' renove same u on notice from ihe Cit and ro re �ace ub��c <br /> FIN INSPEC ION --�— property damaged thereby. /P <br /> AppmvetlasConslmcteA Oa�e ��� � l/.v�, .,, . ,i �/� /O�_ <br /> C/ -j'LC Y ' <br /> Signa� plicaN (/ Dale <br /> WORK AU7HORIZED�Y THIS PERMIT MUST BE STARTED WITHIN iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED C' <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITV UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. � <br />