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/ <br /> % PUBLIC WORKS Date 3/9/2U05 <br /> PERMIT PublicWorksPermitu L:.��503-�1� j <br /> BG503-010 <br /> �uilding Permit a <br /> PUF3LIC WORKS DEPARTMF_NT Planning Reference k <br /> 3200 Cedar Street <br /> e���en.w;,sezoi , t,� Q 3 p006 Public Works Fee S 5 45 .�o <br /> (A251�$�P�(���I�� �AI`1 GuaraNceS <br /> � �1 <br /> owriEnNnrnE CUP.;TAL ;EkL"OE C/(.� ;Y•i�TDkL naaucnrirNnME <br /> ANDA�DRESS: ANDADDH[SS: <br /> PG BOY. S�o7 <br /> EVE]'.ETT 4rA �B:;Un <br /> PHONE: Q:S,'�,5,�,59(10 PHONE: <br /> TA%PARCELI.D. p �BGJZa00900JOO PROJeCTADDRE5S:11Ur'll I.�.�TH AVE JE <br /> DCSCRIPTIOIJ OF ..�' .° t� <br /> PFOPOSED WOfiK: <br /> PERMIT CONDITIONS <br /> 1. All c�dls lor ir.speclion shall be made 24 hours in advance - pnone (425)257-8810 <br /> 2. AII work shall be per'^rmed in accordance with this permit and curreN Ciry of Everett Design and Construction <br /> Standards and Spec�fications. <br /> 3. Call Loca�ion Underground Service 48 hrs. Selore you dig. TOLL FREE NUMBER 1-800-42J-5555 <br /> ;. Sit_- wo�k t�; b� don� pec appc_,v�d Plans dateil 9-1'-05. 1 Q%P�/ <f77liL/�2�! W <br /> � � r <br /> , <br /> k„ � <br /> � . . i-���..1-� _ y� . � <br /> � <br /> �� <br /> .. ... .... . . ...1' :'_. '�.T. CJJ YTI T) <br /> . 'r. . r.. r-� e:. O <br /> � ��c:,�'. o <br /> rii �+'I G7 <br /> i�� - L� <br /> ; � � <br /> � .� � <br /> s � ; ,' <br /> !.a �_�-:; <br /> - a _; O <br /> ,,:� �=. <br /> w, � ' �� <br /> �,� �, �.n = / <br /> , �+ V/ <br /> �,::7 �c � ...ic`n j�,a <br /> I�..:l 1 . L J.� <br /> I . ~'� � . !_ 1 .- . O <br /> � _� - a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> np�/ � i Thc undersigned ownedapplicant hereby agrees to holtl and <br /> � i;� .!��iz fj-7�, save harmless the City of Everetl Irom any and all claims tor <br /> ior Consuucuon Daie damages,costs,ezpenses,or causes of action that may arise <br /> because of installation and maintenance of the improvement or <br /> � oth�r right-of-way use here!o applied br and further agrees to <br /> �'� �j ,..�_— rem �c same upon notice irom the City and to repla e publ' <br /> - JAL W SPECTION `pr eny o�maged t�reby. <br /> n;;pmved as consiructed Dme � J � /r 'j_ 7 <br /> �J <br /> / 7 —/q 'C� � �.)/I.c.t +V�6✓'_�� L_ <br /> SignaWreolApplicani Date ' <br /> IVC�RK AUtI IORITED OY TU15 PLRh11T MUST 6E S7APTE0 SVITHIN 100 DAYS OF DATE P[Rh11T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLV PUH�UED <br /> IO COLIPLE 1IOIJ THIS PHRI.1IT IdAY�E CANCELtf.D 6Y 1HE CITY UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />