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;� <br /> PV����f �VC'7�� � Datc g�ln/_, r, <br /> � � _ PublicWorksPermit# v���i�� ,l;i:.. <br /> � PERM17' ,��` - <br /> L� BuildingPC�mitH i i��r, � <br /> PUBLIC WORKS OEPARTMEPIT <br /> 3200 Cedzr Sireet � � Planning Reference� <br /> Eveie��,WA9B201 ,�� PublicWorksFeeS <br /> (,125)25�-8810 =i.���,,c .._� .iiii <br /> r - <br /> �� � � � •��'� Guarantee5 <br /> . �_�'�,��: -. <br /> OJNCRIJAI,SG --.. . --__�--- -���� APPLICANPNAME,`; I <br /> ANDlDDRESS: npNSY FTJTLNPRISES LI�C � �: ANDAODRESS' I ; ��� <br /> 17p3? 35TH AVE SE . L�..` I <br /> � �'. <br /> BOTFIELL {�h- G � 9Ap�� _l t %J '� _i ,' i <br /> PHONE: Q?S7A3171Q �I,'.-.� PHONC-: �•. <br /> � II -i <br /> M� tFc�iy . � �7 �. <br /> 7AXPAHCELI.O.N PRQIEC7ADDRESS: I <br /> i 55'S0nn01500�18 _ 10.7,:c��,��-?l4�,�#��' � <br /> fDESCRIPTIONOF ?R;..7 n,j�r,'� - p � � ^,..,_; — --� <br /> PROPOSEDWORK: .. _ �A�I_ <br /> PERMITCONDITIONS LOT 2 SHOFT PL.�1T 1242-01'-02 <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance wilh this permit and current Ciry of Everetl Design and Construction <br /> Standards and Specificalions. <br /> 3. Call Location Underground Service 48 hrs. before yoo dig.TOLL FREE NUMBER 1-800-424-5555 � <br /> . . (:Of1�tCLL�'L =RT11tC3[lp❑ 9}.�it@m FP_C 3�J�CpyBCi �:73r1: t'CC T.,=t __ . �:2f�C =n �`3[:�j3C�� � <br /> .. ,�?sJp 1❑ atp��p p73LEC 14anual 3-2-6 � <br /> . Inst�ll ronf dr.7ins for e:cistzn�i hcn:ye and i.�� . cn;,r ; _,r +.I,z� c � . .:rc. <br /> :nnected to drainaae �yrr_em f1A <br /> LLI <br /> . Lower meter box to level of fir� hydrant }�:::i O <br /> . Gcad? frontag. :;cnpe to a L:1 slnpe and m�.ii��h <br /> ' . Eackfill acound conduit at NW Coene�r � <br /> . Fil.l against edge of a9Fhalr. and _r�ncrete �v'._i:.- �.; ;�e._�i�a�i <br /> _ . All u:tposed soil� to b� mulched with steaw o� _cn•;� _;r;:_a� �:..�. . ..�:1 � <br /> ;L. Provide house numh��� for existinq and ne�.� lotr; O <br /> ] ' . F.epair w�od f�nce as need�d <br /> � i � �7 .._ - --'- � _�. , _.. �� ,�_: - '':';'a '�^ <br /> V+ <br /> 0^ <br /> Y. <br /> . . ', ,'. <br /> . , ,,1;... 2 - , �,���`I <br /> -________ _ <br /> - -- —- ACKNOWLEDGEMENT OF CONDITIONS <br /> Q The undersigned owner'applicant hereby agrees to hold and <br /> � � 'L 12� / / �� save harmless Ihe Ci1y of Everett irom any and all claims for <br /> � ��� damages,costs,expenses,or causes of action that may arise <br /> � A ved lor Constmclion to <br /> • because ol installation and maintenance of lhe improvement or <br /> �� � other righi-of-�vay use herelo applied lor and luriher agrees to <br /> � _��'J �����_ y c�_ remove same upon notice Iwm�he Cily and to replace public <br /> � N„aE�o�N property damaged ihereby. <br /> i ' Approved z5 Conslmcled D��te � <br /> � �G -G"c�: - C�- \ '`-.-�`�_�;:` 'L\...��• `�� ( l (O 1 <br /> �, _____ _ Sign�ofAuplicant \ Date <br /> VJORK AUTHI'RIZED BY THIS PERMIT 1.1UST BE STAFiTED WITHIN 180 DAYS OF DATE P[Rh11T IS ISSUED;;ND TH[FlEAFfER IS TO 6E OILIG6NTLY PURSUED <br /> -IO COMPLEI.�'L THIS PERMIT MAV BE CANCELLED BY THE CITY UPON ANY STOPPAGG OF Y.'CRI<ON iHIE PROJECi OVER 90 DAYS�URnTiON <br /> [Pl9P(]IOGI �ATABAP.I1JC. <br />