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Date 9/2P,/2005 <br /> � �u��ic woRKs <br /> PERMIT PublicWorksPermitp FA0509-059 <br /> C0509-058 <br /> Building Permit q <br /> PUBIIC WORKS DEPAFTMENT Planning Reference N <br /> 3200 Cedar S�ree� <br /> Everett,V!q g�STING �AN 2 9 2006 Public Works Fee 5 j?g,U 0 <br /> S <br /> (425)p� <br /> Guarantee 5 <br /> OWNER NAIdE � d D PAF3t CREEF LLC APPLICANT NAME <br /> ANDADDRESS� ANDAD�RESS: <br /> PO EOX 9io <br /> CLINTUN W.A 98?3b <br /> PI10NE: 3bU391Q70�] PHONE: <br /> TA%PARCELI.D.a 3129053U09h0005 PROJEC7ADDRESS: 9c�7 5Tfi DP. SE NLciT 7 <br /> DESCRIPTIONOF ' n-� `� <br /> PROPOSED WORK'. <br /> 'kE.�k SET BACK IS FFT; 5ITE FLAH. <br /> PERMITCONDITIONS CAPffiERLY PLAT LtiT 7 <br /> 1. Ail calls lor inspection sha!I be made 24 hours in advance - phone (425)25%-a810 <br /> 2. All work shall be performed in accordance wilh this permit and current City ol [vereu Design and Construction <br /> Standards and Specifica�ions. <br /> 3. Call Location L'nderground Service 48 irs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br /> W <br /> �. Cenne�c aide sew�ae p�c City :;tandacd .'s5liiafter sewer lift at�r.iaa ie cr,mpleted and � <br /> an��c,_ve�1 �/� <br /> 5. _onn,=ct coofto�; •loWnsp:�uts to the deainacr_ sysrem pe,�vidud fOi� thls lot . c„ 3`�;� V/ <br /> �.,��. �����--" �-' _� . W <br /> C',;"._� ;:.u�o:,ao-o-g:nm �.. <br /> : i.� :_r'-Fi r .,_ O <br /> -'r- -- cri r:- cr.�c-a��,-� �_� <br /> ,'Y'. '_"i___ i`i �c�s r.'� ' <br /> �� `^ � <br /> . - � _ <br /> � Q ���i� � <br /> .l r..:: <br /> � O <br /> r.^ <br /> ��L E.S.. (}} Y'-' � <br /> �•M.�H>'. fN fH ~ <br /> _1_ � C..!�l�.[R L.'1 �1 I—•F+ 1'�.] �� � <br /> Y�h-��l Gy 1'�,L.�l i',J�si 1 <br /> �i• ry G410C�Tl��lc'JGs�•�`. <br /> ['l L�:'J`'� _.r_�.�Ce ._..i Ln , O <br /> _ �'� <br /> i1•- . <br /> _ ._, a <br /> ACKNUWLEQGEMENT OF CONDITIONS <br /> �- .. /� The undersigneo ownedapplicant hereby a9rees to hold and <br /> �'/�<.e >� J � ni save harmless the Ciry ol Everett frcm nny and all claims lor <br /> .�mveel�m Construclmn Da�r� damages,wsts,espei.=es,or causes ei action that may arise <br /> because ot installatior+and maimenance of the impmvement or <br /> other right-ol-way use hereto applied for and tunher agrees to <br /> _ remove same upon notice irom the City and to replace public <br /> FINAL INSPF.CTION property ac�ed t reb <br /> AppmvetlasCansvuctetl Date � <br /> SignatureolApplicanl Dale <br /> WORH AU7HORIZED�Y THIS P[RMIT MUST BE STARTED WITHIN 7B0 DAYS OF DA�7E PEAh11T IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COWPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANV STQPPAG[OF WORK ON THIS PROJECTOVEfl 90 DAYS DURATIOM. <br />