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� � /� �+ p 9/ZB/2005 <br /> � ����IV ����r7 PW0509-093 <br /> I� Public Works Permi�q <br /> tl P E R fN 1�' Building Permit# <br /> PUBLIC WORKS DEPARTMENT Plai�ni^n Reference# <br /> 3200 Cedar Street <br /> � Everelt.WA 98201 Public Works Fee S $3, 622.6G <br /> (425)257-8810 <br /> Guarantee 5 <br /> OWNERNAME a ° � APPLICAt7T1lAIAE - � UER <br /> nNono�r�ess:916 PACIFIC AVE ANDA�URESS: �;f A MORTE}�SON) <br /> E`/ERETl' tZ� 98::01 <br /> PHONE: 925ZS879Q2 PHONE: 42�i4976629 <br /> TAX PARC[L I.O.a � �• J PROJECT ADDRESS:1�17 13TH $T <br /> ` ETSAL_ AttF.�R- C.�FAt� <br /> DESCRIPTION OF <br /> PROPOSED N'ORK: � <br /> - :., :. . .:.0 c_ Ic3HT5 <br /> PEFiMIT CONGITIONS ADCITIC�N <br /> 1. All calls for inspection shall be made 24 hours in advance - phure (425) 257-8810 <br /> 2. All work shall be per(ormed in accordance wilh this permit and cuuent City of Evere�t Design and Construction <br /> Standards and Specitications. <br /> 3. Call Location Underground Service 48 hrs.belore you dig. TOLL FRE[ NUMBER t-800-424-5555 ' , I <br /> 9. As p�c appcoved plan dated '11/15/65 and the ��ublic woeks in:pectoc's diCertion in Y.I <br /> the fiald. � <br /> 5. Reep city streets clean at all times during cons�ructiun - tracking of dirt. or ^ <br /> debris �hall be cleaned pcom��tly. y� <br /> _ _�_ �__ _ _-- a � ��''- m <br /> � � � �� � <br /> i �� � 2� I .�I�i3 �� �� �d'✓�� �,�G . <br /> ( �y e �/' � <br /> I � /� <br /> 11.6) � v�t V ✓ <br /> l ` <br /> ,- <br /> I <br /> �Z��� � � �� ���.�` . ���� o <br /> � ,��y <br /> �z�� �, V °n�� �.(��;�" � �5� !— <br /> ' �1�� Z;AH (n <br /> �� iLi9 $0 ' � <br /> �zti ! , 0. <br /> � ILZ� _ � <br /> . iz�� <br /> �_ <br /> ACKNOWLEDGEMENT UF CONDITIONS <br /> � � The unde�signed ownerlapplicant hereby agrees to hold and <br /> save harmless the Ciry ol Everett irom any and all claims for <br /> nppro�ed mr construcnon Da e� dama�es,costs,expenses,or causes of action Uiat may arise <br /> because of installation and maintenance of the improvement or <br /> other righl-of-way use hereto applied tor and furiher agrees to <br /> remove same upon notice irom ihe City and to replaco public <br /> FINAL INSPECTION prcperry dama�ed�hereby. <br /> Approved as Conslmc�oA Date <br /> Sigmiwe ol 0.0;licanl Uale <br /> WORK hUTHORIZED E3V iHIS P[RId1T IdUST�E STARTED VJITHIN id0 L'?VS OF DATL PER611Y'IS ISSJFD AIJD THEREAPTER IS TO 9E DILIGENTLY PUFiSUEfi //� <br /> TO COIAPLEilOf1 THIS PEqPd1T A1AY BE CANCELLC-D BY THE CITY UPOIJ ANY STOPPAGE OF WORK ON THIS PFiOJECT OVER 90 CAYS DURATION. <br />