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PU�L�C WOR!(S <br />PERMIi <br />FUBLIC WORKS DEPARTMENT <br />32G0 Cedar Street <br />Evereri, WA 98201 <br />(425) 257-8810 <br />°No"n�o"aEss:Seattle fire dept. relief <br />006 columbia st. nw, �,100 <br />OLYI9PIA WA 9E�01 <br />FHONE: ( 360 ) 357-998A <br />TAX PARCEL I.D. a <br />PHONE: <br />NAME <br />Date <br />Public Works Permit a <br />Building Pertnit H <br />Planning Reference k <br />Public Works Fee 5 <br />Guarantee $ <br />s/zz/2eee <br />PW0003-059 <br />$ 25.00 <br />Nelson-CouvretLe & Ass� <br />17311-135Lh ave ne, A-•' <br />WOODINVILLE WA 98072 <br />( 425 ) A86-•1669 <br />9722 18th Ave W <br />DESCRIPTIONOF Remove Aldar trees (12ft wid� path) / Test boring <br />PROPOS'cD WORK: <br />PERMIT CONDITIONS <br />1. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be performed in accordance with Ihis permi�. and curreN City of Everett Design and Construclion <br />S�andards and Specifications. <br />3. Call Location Underground Service 48 hrs. be(ore you dig. TOLL FREE NUMBER 1-800-424-5555 <br />Keep city streets clean at all times. <br />This permit does not authorize any additional clearing <br />oz grading for this lot. <br />��/�� .�/�3/00 <br />mved lor Constructio�/ Dl e <br />� AL SPECi ON �'� �•_ �v <br />P.pproveA as Conslruded Da�e <br />03-�3-00 4:55Pii <br />II OOG3059 <br />OTHEF �:,.00 <br />l-DiAL �5.00 <br />A Ot16�68 <br />/ <br />ACKNOWLEDGEMENT OF CONDI?IONS <br />The underigned owner/applicanl hereby egrees to hold anG <br />save harmless the Ciry of Everett irom any and all claims tor <br />damages, costs, expr.nses, or causes of action that may arise <br />because of installation and maintenance of the improvement or <br />other � - y use he o aoplied lor and furher agrees to <br />ove same pon o' e e Ciry and to replace oublic <br />prop ma e � y <br />� 3-L�-ca - <br />Signatwe ol Ap, licarn Data <br />WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS ^F Da�E PERMIT IS ISSUEU AND THEREAFTEF IS TO 9E DILIGENTIV PURSUED <br />TO COMPLETION. THIS PERMIT MAY BE CANCELLED RY THE CIN UPON ANY STUPPAGE Of WORK ON THIS PROJ�CT OVER 90 DAYS DURATION. <br />