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:_,';.-, <br />, �.>t <br />�/ � " <br />��� <br />PtJ�LIG;;V1lORKS ;,.�� ,�:� <br />PERMY'�" � o�s <br />PUBLICNJORKS�,DEPARTMENT: CT <br />3200 Ceilar�Sireet � - "� � � <br />Everefl. WA98201 <br />(425) 7_Sj-881Qif�. :4G�.�'� <br />+ r - <br />� <br />_ _ � `fr. --- f'lf'•fa1 <br />owNeH Nn�n[� � '� p� �� <br />II AND ADDFESS: r.i: .. �-.� i i,'i ��.��;•i F i)t- <br />5 lF 6'Iqr� pz, NE 7 yD�;IUt <br />I h�x.:.TSVILLE W?. 1 9.F���� <br />t� <br />IPHONE: 1 J G <br />� <br />TAX PARCEL I.D.q <br />GL`I� <br />UY�_:J`�li <br />S60.GU <br />PHONE: @4.� <br />DESCRIPTIONOr ' ' ,_i;;'.:•'r.'-:3(:F �.�.'rr-� <br />PROPOSED WOfiK: ?�'-'�' ''. _ _ . � ,. .. . _. . .. _ .... . .. - .. _ ..� <br />PERMIT CONDITIONS <br />Da�e .. _ . _ . . . <br />PublicVJorksPermit# 9p�E��S-��-�` <br />rngr�5-nli , <br />Building Permit # '� <br />Plannino lieferenca � <br />Public Works Fea S _ . . . <br />Guarantea 5 <br />_::i- i'ifl iT <br />1. All calls for inspr_cFon shall be madu 7_a hours in �,dvancc_ <br />2. All work shall be performed In accordance v�ith ihls p�nni� and current Ciry of Everett Design antl Construction <br />Standards and Specilications. <br />3. Call Location Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />.._....... .-.-, ... .:_,,:: .i�,��n::G';"=.' -" =�1'= '-�`- -- _�. <br />..71_ C6.1TL..i_t:JL�It�..T� ID'•'oi lJ1i❑ t!1c' F'LIt�11C .iOLi::: lilEL•a:r.:![ iJ •.�1:::Ui.� } r f�.C�_�. <br />irainage ew.itina prioc r.o l;eqinning �h� peoje�rr.. <br />, instsll erowion cnnt�nl m�a�uces zis clFteemined by tn� Put�lir Works in:pect[�c, :. <br />.:. 31?t f9l1C�. .9CC3W �?31�.� :�kP3�c�� OC �CCv10R L'�13[II:Ft�. <br />. F1�!ROC� NCQ.72pC f�5R`C�}], p1P3�:.rUC@9 UI?9[7 �:nIQ�)lF.tj,n�l ��f Y��P_ (>C:�Jr_r7Z �:•C1QC tc �inal <br />ppeoval of the pecmit. <br />, Ai] �xer�vc�ted materi:�l fiom fo!mdaticm, sidewalk and cirn�eway� shall be hauled t�: <br />,❑ aj,prnved, 1`eemitted :�ir,e, }!o vas*_i.na of matecial i� :�11�?.+ed �tin thi� 1?uildiiig lo+:. <br />.. ir0 �iLT :fIU�� L'C�'=}:3 OL'� �:�2}�L7:: tC� t�u i.T3Ci:��� bflCn C�03CIti13j�. <br />_r�. FemovF and repi.3c� rucl:�, �xurtee and sideualF: a, pee rit.y of Ev�cect Standa�� --s.. <br />„„;ii5p, �_tOh n❑ this per�pnsal's fcontan� ;s dleected by the Public. w,,�i. Tn-�:. <br />� l.�. 311 Ut7U:JP.�� !jt LV��Wdy•i :D�j 3I1}' FFCOIia❑ OL �9art,ag�� dCP;3 TUSf �?� C�tj-� �. . . <br />'c. F'dV�• ilYlVa�••3]r f1'Pm the ' � �nt }�Lt�F�2riV �inB nl1T tp ir12 ..CLP�.•'_ : -.'" . <br />21' � <br />-- c i�-�_'.' . .._-._ 1 i�-.":��:Ti�::l. :"r.: F�'f':�': P.L�E'.7 P.T ��: S;';n-7�:,.. <br />��'� �z��l'ING � ���� /c��j <br />---- - <br />,s �� �Ly So7C J� <br />Iroved lor Conslmr.lion Date <br />I�,�� r�" y tU DI'1i t• D'' �� 1 <br />��� — <br />FINAL INSPECTION <br />Appwved as Consimcted Uale <br />W` <br />r <br />vi <br />1J.1 <br />� <br />� <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned ownerlapplicant hereby agrees to hold and <br />save harmless ti:e City ot Everet� �rom any and ail claims lor <br />damages, wsts, ezpenses, or causes ol aclion Ihat may arise <br />becaus? of installation and maintenance of the impro�ement or <br />other righ4uf-way use hereto applied for and lurther agrees to <br />remove same upon notice from the Ciry and to replace public <br />prope damage�ereby. <br />SignaWt fAppl�� Date <br />'::'ORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF �ATE PERMIT IS ISSUED AND THEREAFTER IS'i0 �3E DILIGENTLV PUFSUED <br />i0 COIAPLETION. 7HIS PFRIdiT PAAY BE CANCELLED BY THE CITY UPOIJ AiJV STOPPAGE OF WOfiK ON THIS PROJECT OVER 90 DhVS DURATION. <br />erwe �:�mn OATApAq. INC <br />Z <br />0 <br />'�^ <br />V / <br />0 <br />� <br />