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�_ <br /> � o�ia o/7;3no7 <br /> ���/��� ����� PublicVJorksPermit# FW�7D��-OOE <br /> P����� Building Permit# <br /> PU�LIC WORKS DEPARTI�IENT planning Referenr.e k <br /> S- 3200 Cedar Sireet <br /> Everetl.WA 982G1 � pu6lic Works Fee S <br /> � (42 51 2 57-681 0 $925.U0 <br /> Guaranlee S <br /> Ol"JNER NAfdE APPLICANT NAME —1 <br /> ANDADDRESS'. P�1RT OF EVETIETT ANDADORESS: LAFfRY CR7IWFOP,D <br /> pn gn}, 538 <br /> EVERETT wA 982U5 - � <br /> PHONC-: � � qq ��q PHONE: ;�_�?BBOblb <br /> 9_5_5. 1 <br /> TAXPARCELI.D.N PROJECTADDRESS: <br /> an� � � <br /> DESCRIPTIOIJ OF <br /> PROPOSEDWORK�. IN.`�iTALL DP,AINA�3E S'z5/PAVE YW]CitiG AkEA <br /> PERMIT CONDITIONS <br /> 1. All calls for inspeclion shail be made 2a hours in advance. <br /> 2. All work shall be perlormed in accordance wilh this permit and currenl City ot Everett Dosi�n and Construction <br /> Standards and Specifications. W <br /> 3. Call Location Underground Service 48 hrs.before you dig.TOLL FREE NUMBER 1-800-424•5555 � <br /> =!. __;_1 w�•c-{[ to Lie dnne r?r p13n dsted 6/7;0"1 �'t.`i��;/��r/s,�� � <br /> ' . . _-_ _ U:•�- 2'1�nn�n_� G._p-.rcment fo[ p.,ur ].ar<is�=1F„n_i i:_.�:iu���eme;nc� . � <br /> W <br /> 0 <br /> � <br /> �� Z <br /> �,,� <br /> /� ' � <br /> // yi� ;, <br /> ,� JlJ� �<; ; <br /> , .� , � �4 2p p� %%�� � <br /> ' '� � �% � <br /> ' ; , _ 0 <br /> ,, . <br /> a <br /> ----- — - - - ACKNOWLEDGEMENT OF CONDITIONS � <br /> � The undersigned owner/applicant hereby agrees to hold and � <br /> � � / � v�9 / 7 �'� save harmless the Ciry ol Everett Imm any antl all claims for <br /> - /'/�1�t:'�� `'� `� ° C� � damages,wsts,ezpenses,or causas of action that may arise <br /> Approv r Constmc� � Dai because of installation antl�:ai�rienance ot the improvement or <br /> � %/� �'7 �j '7 olher righl-ot-w3��er to_,�plied for and further agrees to <br /> � . t,. � " "L l�-- / _ r ,. �1 remove sa�n upo notib Imm the City and to replace public <br /> —� ' prop rty d, g� her b . <br /> 'INALINSPE TION <br /> ApprovuA9 Consirucled Dalo Y U l <br /> ; � > `� ' `::' c, � <br /> SignaWr'�o/(pp c ' Dale � <br /> WORK:>UiM7RIZED�Y THIS PEPh11T MUST BE STARTED WITHIN 180 DAVS OF DATE PERMIT IS ISSUEDAND THEREAFTER IS TO BE DILIGENTLV PURSUED <br /> TO CO'1PL[�ION.THIS PERAIIT h7AV BE CANCELLED�Y 7HE QTY UPOD!ANY STOPPAGE OF WOFK ON THIS PROJECT OVER 90 OAYS�UFATION. <br /> DNtfiAF.ItlG. <br /> E'Pl':P�. �. . <br />