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. . pUBLiC V��ORKS °°'° �y,26,zoa2 <br /> RERMITPublicWorksPermits p�]0209-040 <br /> Building Permit a <br /> PUBLIC WORKS DEPARTMENI' Planninc�Relerence a <br /> 3200 Cedar Strecf <br /> cveren,WA9820i Public Works Fee S $�5. JO <br /> (425)257-8810 �. <br /> Gu�ranb��5 '. <br /> � <br /> OWNEP NAME APPLICANT NAMS <br /> ANDAUDHESS: 3OIO 25TH ST ANDADDRESS: � I <br /> E�ERETT WA 98201 <br /> FHONE 4252583Q's3 PHONE: � <br /> TA%PARCELID.a PROJECTADDFiESS' 3OSO 25TH ST 7 <br /> DESCRIPTIONOF �'NCE iN CITY RIGHT OF WAY FOR DAY CARE � <br /> ��AsTA�li�_ <br /> PROPOSED WORK: i <br /> � <br /> PERMIT CpNDITIONS <br /> 1. All calls(or inspecllon shall be made 24 hours in advance- phone 1425) 257-8&70 <br /> 2. All work shall be perlormed in accordance with Ihis permit and currant City of Evere�t Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER t-800-424-5555 <br /> 4 . Make sure water meter shut-off is not enclosed inside of fenced W <br /> area. <br /> 5 . If the City ever needs to use this area for menicipal purposes, the � <br /> c�aner must remove the fenc.e at their expense. <br /> �::4-�rr--�`_ I :....- /� <br /> `� �i�V'-., ,. W <br /> ,J��{_c� _i. , O <br /> � `!'>'"_ ,.i�'-. <br /> __ . '... .-l:. . :_�. <br /> , , - � <br /> O <br /> '�A <br /> V+ <br />! O <br /> � <br /> ACKNOWLEDGEtiIENT OF CONDITIONS <br /> i � <br /> /-L, > a� O� The undersigned owner/applicant hereby agrees to hold and <br /> � �� � save harmless the i.ity of Everclt from any and all claims for <br /> APP�—�imcuon aie damac�es,costs,expenses,or causes of action Ihat may arise <br /> � because ol installation and maintenance of the improvement or <br /> �_r_ _� other righl-obway use herelo applied for and further agrees to <br /> ����"CG,.3 remove same upon notice Irom the City and to replace public <br /> FINALINSPECTIOIJ <br /> Appmvetl as Consim-tetl oaie damaged ihereby. <br /> �...,�.Q_ C? . ,13 q -.�o- oa <br /> Signalure ol Applicant � Dale <br /> WORK AUTHORI2ED BY THIS PERMIT MUST BE STAFTED WITHIN iB0 DAYS OF DATE PERMIT IS ISSUED AND THEREAFfER IS TO BE DILIGENTLY PURSUED <br /> TO COIdPLETIGN.7MIS PERMIT MAY BF CANCELLED BY 7HE CITY UPON APN STOPPAGF OF WORK ON THIS PROJECT OVER 90 DAYS GURATION. <br />