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PIJBl.IC VIiORKS <br />�ERMIT <br />PUBLIC WORKS DEPARTMENT <br />320D Cedar Slreet <br />� Everell, WA 98201 <br />�425� �e�°? ^ � l�jf� JUL 1 6 2006 <br />O',"JNERNAME1��j2 .J'STH AVE :iE <br />ANDADDRESS <br />EOTHELL :7'r. <br />925793171.8 <br />PHONE: <br />�o'n� inr -,nr�,.l,� <br />7A`;PARCELI.D.p <br />TfEW Hi�[ISE - B:+SIC. :79 <br />DESCRI?TICN OF <br />PF70POSEU WORK. <br />PERMIT CnNDITIONS <br />11; 09/2VU� <br />Date <br />_'��70511-� L_ <br />Puhtic Warks Fermit #,�,�, r, t t–;� �} �_. <br />Buiidinc� Permrt # <br />Planning Reference p <br />Puhlic Wo�ks Fue 5 ' � ' <br />Guarantee S <br />APPL�CANT NAIdE <br />AND AOORESS' <br />;�bJli: <br />PHON[ <br />� PROJEC7pU�RE55`' ' ' "' <br />1. All �alls lor inspe� �on shall be made 24 hours in advance - phone (425) 257-f3810 <br />2. All work shall be per(ormed in accordance with ihis permit and current City of Everett Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Senice 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />�. Connecr. :�de .:e•.n�r ��ec rit}• :tan�ia�d: r,pl, 6ii::, r,ii�. <br />5. CJllll@CC LUOf2i�F� C�OWO3pC�0t3 t41 t}1:• ��Lill]dCla ... '_::Ir pL•f�Y.._i:�:l iO: iit13 l�:�i. <br />6. Install eYG31GR conteol mear�ucee as deteemin�d'i�y tit� :'�Ff;li�: :loeF:s Inr,i<_ca_:e s�.irlr <br />as silt fence, strab� bales, svales �_�r ecu�i�n bl�n}:�ts <br />�� <br />Approrntl as Conslmciotl <br />, . <br />/ G.7 L"S <br />Date <br />7/�i� �: <br />ACKNOWLEDGEMENT OF CONDITION:. <br />The undersiqned owner/applicant hereby agrees to hold and <br />save harmless ihe City of Everett trom any and all claims br <br />damages, wsts, expenses, or causes of action Ihat may arise <br />because ot installation and maintenance of the improvement or <br />other right-obway use hereto applied lor and furiher a3rees to <br />remove same upon notice Irom the Ciry and to replace public <br />mp perty damagetl thereby. <br />�.,�t+,.,�`�L.4`s. `�—_ t ��'_d.-�—. <br />��nnatureptApplicant � Date <br />WORK AUTHOR17E0 �V THIS PERId1T IAU57 BE STAR i EU LVITNIN 18G DAYS OF DAT[ PF Rt.11r IS ISSUED AND THEREAF7ER IS TO �E DILIGENTLY PURSUED <br />TO COI.IPLETION. THIS PER1.11T tdAV f3[ G�NCELL[D �1' THE CITY UPON ANV STOPPAG[ OF IVOFK pY TNIS PROJECT OVEF 90 DAVS �URATION. <br />