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, <br /> PUBLIC WORKS Da�e �1/"'Bi2U05 <br /> PER�IT �' ' . '• PublicWorksPermita Pa0504-Oo� <br /> i_ ,. <br /> ti i � �Qrl; �• C0509-uol <br /> � Buildiny Permit N <br /> I:j " <br /> PUBLIC WORKS qfiP�RTMFN�j7 f���:�� Plannino Relerence k <br /> 3200 Cedar`$�reet"� "� <br /> Everetl,WA 98201 Public Works Fee 5 5;:5.OU <br /> (425)257-BB10 ��L�::'. Y��.��'';,);i <br /> } y � ; ';'i Guarenlee S <br /> ;:_�:; <br /> OWNER NA�dE 0. U Y ' , �_ . � � -' qpp��CANT NAME � � <br /> ANDAOORESS: YU EVY. QLG 1 ,fr�LI�I7 pNDADD(iESSJ�'%•��% <br /> CLI11TcjN G1A J ''��6 '-�-'''" -r SE�' <br /> =1�° r�:�-i;�s � oncTING 1 y Z005 <br /> ,:. . <br /> 3oos419r,,04 ;p�� rnoNe. =' i.; <br /> rHONe. I _ F 7' iP <br /> 5'�':_: pE�� �� � ;�) <br /> TAXPARCELID.0 31::5���J�IUQh(10ilri � 'iF;;�.' PROJECTADDREuS;P.�j�",]� (i7'$ [lY. SG (�I.l,✓r J <br /> -.no ' C �lf.- <br /> PqOPOSEO WORN� t.�HEI< ' ' �� � <br /> , ;1,i��. .� <br /> * RENt SET EACh FEF. �17'E PLAtI. <br /> PERMITCONDITIONS ''-L�=��LY FLAT LOT � <br /> 1. All calls for inspection shall be made 24 hours in advance -phone (425) 257-8810 <br /> 2. All work shall be performed in accordance with ihis permit and current City ot Everetl Design and Cons�rur,tion <br /> Standards and Specilications. <br /> 3. Call Location Underground 8^rvice 48 his. before you dig. TOLL FREE NUMBER 1•800-424-5555 <br /> W <br /> i. C�_nnect -ide aewer oer rity :itan�iacd tir,nl� - - F•• <br /> '�t-t't":�:'q � -_ _ .. . ._, . _. , -aa:i ��/� <br /> 5. rrmn�ct �._,�,rt��F, ,:iown��.:,u?:_: t_ the clzainage :s,:;t�_ic p�ov;.ta-d t�_�i [l�i� lot . V� I <br /> W <br /> � <br /> � <br /> Z <br /> O <br /> H <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> n ' /� /�� ! 1�. C�s, Thc u�dersigned ownedapplicant hereby agrees to hold and <br /> Z L'Z-��t-. save harmless ihe Cily of Everet�Irom any and all claims for <br /> a roved ior Consimceon ��e dama es,costs,expenses,or r.auses of action that may arise <br /> � because of installalion and maintenance of Ihe impwvement or <br /> '•i • � �,�`y _ l, �/ /���, r_�— other right�of-way use hereto applied lor and fuAher agrees to <br /> Y . . � • remove same upon nueice from the City end to replace public <br /> FINAL INSPECTIQN �: property dvryaged I�reb . <br /> n�provea as ccnsimcletl Oate �'/ /i/,- -- <br /> /1 /�U � 'o ��� � i -�1_5 <br /> SignaWre of Applwant Da1e <br /> WORK AUTHORIZED�Y THIS PERMIi MUST BF STARTED 1YI7HIN 1U0 OAVS Of DA7E PERMIT IS IESUE�AND THER[AFTER IS TO BE DILIGENTLV PURSUEO <br /> TO COMPLETION.THIS PEFMIT MAY BE CANCELLED�Y THE CIN UPON ANV STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />