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� Pu��ic woRK� <br />PERMIT <br />PUBLIC K'ORKS DEPARiMENT <br />:1200 Cadar Streal <br />Evamtl, WA 99201 <br />,42�a5' �TI N G <br />�tJADRANT CUP.I'OI:ATTON <br />�p0 ROX 130 <br />BELLEVl1E Wh � <br />009274�10U04100 <br />DESCRIPTIONOF NEW HOU$E <br />PROPOSED WORK <br />PROJECTADDHESS. <br />.�.JO1 <br />12/06/2001 <br />Public Works Pormil N PW017.2-006 <br />Planning Rolmenco a <br />t. All calis lor inspeclion shall be made 24 hours in advance • phone (425) 257•8810 <br />2. +II work shall ba perlormed in eccordance with this permit and currenl City ol Everetl Design and Conslruction <br />5'andards and Specilicalions. <br />3. Call Location Unaerground Service 48 hrs. before you dig. TOLL FREE NUMBER i-800-424•5555 <br />4. Conn�ct side sNwei <br />� . Connect dor+nspouts <br />i,. Any e:<cess matezia] <br />: ite. <br />per city of Everett sLandard:; 601, 60:: 6 <br />to the �torm stub provided fur this lut. <br />from t.he fuunr.9alioi� �us� bo removed f�om <br />�� // / <br />App loi Cons uctqn Dat <br />� � <br />, � -3 -�,i <br />FINALINSPEC ON <br />ApprovM ns ConStmcte4 Date <br />ACKNOWLEDGEMFNT OF CONDITIONS <br />Thn undeisignod owrrodapp iunt hereby agrees to Aold end <br />savo harmlass Nn Ciry ol E inrett Irom eny aM all clafms lor <br />damages, costs, expensos, or causos ol action �hat may nriso <br />6ocauco of inslallution end inalntonanco of tho imprwement or <br />othor dghl-obway uso horoto appliod lor end lurther agines lo <br />romova snmo upon nolico Iram tho Ciry nntl to rop�ico puhlic <br />/ �prope d aged Ihomby. <br />��ia. `��) l, _ <br />5 w Ikanl Dale <br />WORK AUTHORIZED BV TMIS PEAMIT MU51 AE e:TaR7E0 WITHIN t80 DAVS OF DATE PERMIT IS ISSUED AND 7HEREAFTER IS TO BE DILIGENTLY PURSUEO <br />TO COMPLETION THIS PERMIT MAY B[ CANCFI.L[D BY THE CITV UPON ANV STOPPAGE OF WORK ON TMIS PROJECT OVER 90 D�VS DURATION. <br />