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m <br />� <br />� <br />PIJI.'�LIiC VI/ORI(S <br />i�ERM�T <br />PUBLIC WORKS DEPARTMENT <br />920U Cedar Strcot <br />Everett. V!A 98201 <br />(425) 257�A810 <br />�u POSTING <br />OWNEHNAME rc1C.i<bt.il'. t:,'1.'AiV <br />ANDADDRESS:cj��J� ]$jTH AVE I'1 <br />EVERETT jqq <br />PHONE: �a�5J:�J�-6�;6 <br />TAXPARCELI.D.p Wq80ti0D1015( <br />�ESCRIPTIONOF `;^7 yOL�;;F. (FI]' <br />PROPOSED WORK <br />i' S9 <br />APPLICANi NAh1E <br />ANDADURESS: <br />'i<;;;04 <br />PHONE: <br />Date �)!;� L1/.`'.!�..i.: <br />Puhlic Works Permit a FW0201—'_� I.'.�. <br />E3uilding Permil M <br />Planning Relerence a <br />P blic Works Fce 5 <br />GuaraNce 5 <br />aooaeSs: G9011 1"'iH AVG FJ <br />T�El'T�i��.'E!•ii.iJ'i' � <br />��0�01-�,! � <br />:� �' �i . l l �) <br />PERMIT CONDITIONS <br />1. All calis for inspection shall be made 24 hours in advance - phone (425) 257-8810 <br />2. All work shall be pertormed in accordance wilh this permit and current Cily ol Everett Design and Consiruction <br />Slanoards and Specilications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1•800-424-5555 <br />�l. INST.�Lt. A:;IL'P FENCE AT PEP.IMETER OF S:I'i'E. <br />�5. THE COIVTI'ACTOR I�li);?,T b1EET 47ITH THE PUBLIi Fi��P.K�'� 1N;;rE�'T(:R i'u LiSC�;:I_', <br />Pi�TENTIAL t�RAINAGE RUUT'ING PR10R TO 2,EG:LIipdIN�; THE PP,G�?�C"P. <br />i�. A SPFINKi.ER SYSTEM IS REQUIREP FOI� TH7;, KUILLING II'7 �'i>DiFLIAWCF 41i;'H <br />THE REQUIREpIECiT� OF PIFLA STApILAPS ]. i,. <br />i•^A(i'"^4,.�r� S_(s�a,.. <br />��jJ�J����� ��� �o � <br />AppfovedlorCoostmclion Dale —� <br />� � 1 <br />� ' �= 7 /6-b a- <br />INAL INSPECT ON <br />Appmved as Cunslrucletl Da1e <br />OI'Ldi OL <br />H <br />RUILD <br />SFCHG <br />DRIVE <br />11ECN <br />FLu:�B <br />"E"1'AL <br />12:40PM <br />201014 <br />1066.55 <br />4.50 <br />25.00 <br />60.00 <br />(34.00 <br />.]240.05 <br />A OM6457 <br />� <br />� <br />CHEi-: 124��'S <br />� <br />0 <br />a. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The �ndersigned owredapplicant hereby agrees to hold and <br />savc harmless the City of Everetl Irom any and all claims for <br />tlamages, costs, ezpenses, or causes ol action that may arise <br />because ol installation and maiMenance of ihe improvement or <br />other righ�-of�way usc hereto applied lor and further agrees to <br />remove same upon notice irom Ihe City and to replace public <br />pmperty damaged erely. <br />/ / <br />—j,— .i..I � �.. l � S�—. — ._--- _ <br />SiqnalumolAppliean� Cn�e <br />1'JOPK AUTHOHIZED !1Y THIS PER�dIT 1dUST BG STARTED WITHIN 100 CAYS OP CAT[ PERF.iIT IS ISSUED A'JD TFI[Rf.AFiGR IS TO E3E CALIGENTLY FURSUED <br />TO COM1IPLETION. TIIIS PEf;ld1T h1AY G[ CANCELLGD HY THE CITY UPON ANV STOFPAGF OF VIC(1K Old TI IIS PROJBCT OVER �JO DAYS DURATION. <br />