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PUgLI� VIIORKS °afe ''`°,�005 <br /> Public Works Permit a =�0`05-031 <br /> PERMIT `°�°'-°=a <br /> . Building Perntit# <br /> PUBLIC WORKS DEPARTMENi���,•;-.,�:�� Planning Referenee d <br /> 3200 Cedar Street �-� � <br /> Eveiefl,WA 98201 Public WorV;s Fce 5 _,_ � ,i� .� <br /> (A25)257-8010 . . , .-. . .� . <br /> � , � Cuarantce S <br /> O'dJNE(iilAME WITHE}..J !•� :.-�i''�.�. nPPIIOANT�IAM[, --� <br /> A�DA��RESS'. -, . . � ANDAUDRE55. - , , <br /> ,6� A,x��L�„� vr ; ; , T(1 POSTING, i������ � � �_���r <br /> Ci�MANG IS P'r. 98..._�, _ ..................... <br /> PHON[' :bil_iP7h�li'._ .. PMONE: . ,'. <br /> TA%PARCGLIA.a D(J.',.G( Q:!r',(:'iiy� '7y � �� PROJECTADDRESS: .. .. . .;^f: A':E W NL�:T _. <br /> DESCNIPTION OF . J .. ...� . . <br /> PfiOPOSED`iIORK�. � <br /> L(�=� _. ......._ FLA1 __ . ..-l�il-i�_ . <br /> PERMIT COtdDITIONS <br /> 1. All calls(or inspeclion shall be made 24 hours in advance - phone (425) 2F7-SA10 <br /> 2. All work shall be per(ormed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specilications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800•424•5555 <br /> -i . �.i�[1Il�CC CnOTiO�� aOWRS�JOUtg �i� tllt' �jC31qd�7d Sf��,�3:u j.LO'f1QCij LUC Llll.', lOL W <br /> ` , r.xtend sid? sevei onto lot as needed pe� City [ E•.���L�tt Stanclarcia A�°� _ � <br /> .�. n sE rinkl�� ;;:;*.�m i:: caqoice�i t,.r thi�� Buii�+;m� �_n c•.mi;;iance 4!=th Ui� L/ <br /> _.�;�� .:..��. n•.:- .�f �tr � . .;�_in� , �.._. _" . <br /> W <br /> O <br /> � <br /> Z <br /> O <br /> h <br /> � <br /> Q <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> /'� The undersigned ownedapplicanl hereby agrees to hold and <br /> r ^ �� /� ,��L�� save harmless the City of Everet�irom any and all tlaims for <br /> n ��a ior consirur,i�on oain Aamages,cosis,eapenses,or causes of action Ihat may arise <br /> � because of installation and maiNenance of the improvement or <br /> i <br /> ��/�y,I., ��5� othcr righl-obway use hereto applied for and lurther agrees to <br /> ' (.'t ' - � `�' / -i �-' remove same upan no�ice from Ihe City and to replace public , <br /> FINAL IN 'ECTION �� Froperty Cama9ed thereby. <br /> N�ryovednsConsuuctea Daie � p /� <br /> 1^1.�C-G <br /> SignatureolApplir.am � Oale <br /> WORK AU7HORIZEU(3v TIIIS PLRhdI7�dUS7(lL STnFiTLD NlI7HIN 180 DAYS OF DAlE PERMIT IS ISSUEO ANO THEREAFTEfl IS TO BE DILIGENTLY PURSUED <br /> TO CO!.1PLI:I ION THIS PER�dIT 1.1AY BE GhNC[LLCD�V THG CITV UPON ANY STOPPAGE OP WORN ON THIS PF70JECT OVER 90 DAVS�URATION. <br />