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/ • <br /> � PUBLIC 1lildiRKS Date <br /> ��!'_i:���� <br /> '�� PublicWorksPermit# PW0705-053 <br /> PERM 17' Buiiding Permit a <br /> PU6LIC WORKS DEPARTMENT Planning Reference M <br /> 3200 Cedar Sireet <br /> Everetl,WA 98201 Public Works Fee S 5130.0� <br /> (425)257-8010 <br /> Guarantee 5 <br /> OVJNERNlddE � APPLICANTNAME <br /> f.NOAD�RESS�. 1•TyC}: MCCUZ].qll(J}t ANDADDFESS: TORy M3Ptlrt <br /> =zo3 15th st. s2o3 15ch �t. <br /> Everett Wa 98201 Evecett� Wa 98201 � <br /> vHONe: 4::5.'S25DGp P"oNe: q2525�5800 � <br /> TA%PARCELI.D.a PROJECTAD�RESS � <br /> 3203 15th st. <br /> DESCRIN710NOF Gradin /leveling no.-th oetion of lot <br /> PROPOSEO WORK: g P <br /> Gcading and ]eveling the north portion of lot and <br /> I:emovina 926 cubic yaeds of mateeial <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2 All work shall be performed in accordance with ihis permit and currenl Ciry of Everett Design and Construction <br /> Standards and Speci(ications. � <br /> 3. Call Location Underground Service 48 hrs. be(ore you dig.TOLL FREE NUMBER 7•800•424-5555 <br /> �t. Yut, 'lit f�nc:: a� to nnt impact the m�iaht•ouring prop=cti=�. � <br /> � .City 9tCF'Qt and alleya are to h� kep: clear nf dirt and debe-_� ar ;11 tim?. 1u�ing v, <br /> �;cading and hauling msteiial. M <br /> Y.1 <br /> c. R!ieoff `rom g�.idina sheul�9 not Lmpsct rhe ne�ghbourima propecti�s o <br /> � <br /> Z <br /> O <br /> � <br /> � <br /> O <br /> a <br />� <br /> ---- — ACI<NOWLEDGEMENT OF CONDITIONS <br /> �� --�- , � / The undersigned ownedapplicant hereby agrees to hold and <br /> � � � � �ti. L y,�7 � L� � ^ save harmless Ihe City of Everen from any and all claims lor <br /> ��t��� / damages,costs,expenses,or causes of aciion that may arise <br /> Ppprov�4al'Gonstruciion�� , Date because of installation and maintenance ot the impmvemenl or <br /> % � ��,�� other right�o�-way use hereto applied for and further agrees to <br /> �` (p /¢ �L remove same upon notice from Ihe City and�o replace public <br /> INAL INSPEC I N property damaged thereby. <br /> A mved as nsimctetl Date / <br /> PP /'/'r-7-� ���- <br /> !/i�r <. %i LZ .��.� .: <br /> ;_ s4nalureofApplicanl Date <br /> LVOf7K AUTIIORIZED 6Y THIS PERh11T P,AUST BE STARTED WITHIN 180 DAVS OF DATE PEPMIT IS ISSUED AND THEREAFTEFi IS 70 BE�ILIGENTLY PURSUED <br /> TO COMPLETION.THIS PEFId1T MAY BE CANCELLED BV THE CITv UPON ANV STOPPAGF OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> CPY/P pl06) <br /> DATAFlAR,INC <br />