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PllBLIC WORKS ' '� 6����Z°°1 � <br /> Public Works Permi�q pW0106-03-7 <br /> PE R M 1 T Building Permit p <br /> PUBLIC WORKS DEPARTMENT Planning Reference u <br /> 3200 Cedar Strcet <br /> Everett,WA 98201 Public Works Fee S $126. 00 <br /> (425)257-8810 <br /> Guarantee S <br /> OWNERNAME EPRU APPLICANTNAME <br /> ANDADDRESS: ANDADDRESS: Hdl Gausman <br /> 802 Mukilteo Blvd <br /> EVERETT WA 5E203 <br /> PHONE: � QZS �ZS�-3,�i75' PHONE: <br /> TAxPARCELI.D.a PqOJEC7AD�RESS: Z1y'(�p, 1Gth Strect <br /> DESCRIPTION OF <br /> PROPOSEDWORK: WICJCJUIRS HO�.ZOW Flll �� G(�yrd•s �� <br /> Pw Fk I �-{3 - 2 -�-{.1 - Cos � <br /> PERMI�CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance• plrone (425)257-8810 <br /> 2. All work shall 6e performed in accordance wilh this permit and current City ol Everetl Desiyn and Construction <br /> Slandards and Specifications. <br /> 3. Call Location Undergroui�d Service 48 hrs. be(ore you dig. 70LL FREE NUMBER 1-800•424-5555 <br /> 4 . Provide appropriate erosiun control . W <br /> 5 . Keep city �:treet-.�: clean at all t.imes duiiriq r_onstruction. A <br /> v/ <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> N <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �i � —/�� /'� /� � The undersigned owncr/applicant hcreby agrces to hold and <br /> � J//�1/(/ I save harmless Ihe City ol Everett irom any and all claims for <br /> �p�voved fo'r�°nsl +cl n D f e���— damages,costs.expenses,or cau;es ol aclion that may arise <br /> � �y /" \v1� because ol installation and maintenance of ihe improvement or <br /> �/ � other right�of-way use herelo applied for and lurther agrees to <br />� __ remove same upon noiice Irom�he Ci�y and to replace public <br /> FINAL'NSPECTION propert; amagedthereby. <br /> �pprmetl ds ConslruCtetl Ddle <br /> �4 �� - ---�-�v-�v� ' <br /> naWre ol plicant p��e <br /> NJORK AUTHCFIZED B\'THIS PERMIT MUST BE STAR7ED WITHIN 1B0 DAYS OF DATE PER�dIT IS ISSUED AND THFREAFTER IS TO BE DILIGENTLV PUiiSUED <br /> TO CO�dPL[T�ON.THIS PERMIT M11AY BE CANGELLED BY THE CI Y UPON ANY STOPPAGE OF NlORK ON THIS PPOJECT OVER 50 DAYS DURATIDN. <br />