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Pus�ic woRKs <br />PERMIT <br />PUBLIC WORKS DEPARTMF.NT <br />3200 Cedar Slrcet <br />e�o�en. wn sezoi JUN 2'/ ?t102 <br />"25'f���OSTING <br />""'" "'""""�'0 R 0 X 13 U <br />BELLEVUE W� <br />PNONE: �4�'.5)62b-2�J�� <br />TA%PARCELID.� 00�-.'.7QOOOQ44011 <br />oescaianoHorNFW HO[ISE ���7701 <br />PROPOSED WOqK�. <br />I�W <br />�ir:Uu�i <br />PHUNE: <br />P(iOJECI <br />i;AP.AGF. (: 14!+j <br />Dalc O1; 23/2007. <br />Pubiic works rnrmit xFWn � n 1-- n 3 0 <br />Building Permll N <br />Planning qolor�nca M <br />Public Works Fco 5 <br />6uarantoo E <br />�.u�oi-o�a <br />FO AOX 130 <br />BGLLEVUE WA ygppy <br />(4:t5)62H-2900 <br />oa iis�r�-r r��. sE <br />PERMIT CONDITIONS � � � � � �" <br />1. All calls for inspection shall he made 24 hours in advance - phone (425) 257•8810 <br />2. All work shal� te peAormed in accortlance with Ihis perm�l and currenl Cily ol Everett Design and Construction <br />Slanda�ds and Specifications. <br />3. Call Localion Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 <br />Cum�._.ct side :.�,w�r� UFr �; t y of Ev.•� r,� L st.anriatd�•, 6n1 �U, <br />❑. Cu�uwrt �_luwt�::puuts tu the �3cainn F f <br />6. All exeavatF?d matet ia] f 1 um lutnidat <br />to be hauled to a❑ a�,pt. oved, �,,,.c mtt �.,] <br />allowc.d on tLic: htii]din�� ]�,t, <br />y � ��. ,q�j�� <br />�c�—�.��'`—`�� <br />�� �W('� tJ .2 S-O,2 <br />FfNAL INSPECTION <br />Appmvetl a� Constructetl Dale <br />�:: ��. nu <br />- . � b )4 . <br />:,y �tram provid?d for thls ; ot . <br />�r>>i, s'_dewalk and drivew�ry necr�.3:> <br />.^,it.��• Nu w.,st.ing of matecial is <br />O1-31-02 <br />N <br />BUILD <br />57tCF16 <br />ORIUE <br />lECH <br />PLUMB <br />M <br />SEWQt <br />UTILIiY <br />WATFN <br />TQTAL <br />12:17PM <br />201024 <br />923.75 <br />4.50 <br />Z5.00 <br />60.00 <br />91.00 <br />201037 <br />70.00 <br />1296.00 <br />130.00 <br />2600.25 <br />A OM6528 <br />� <br />r <br />vI <br />W <br />� <br />7 <br />Z <br />0 <br />� <br />� <br />� <br />CHEK 260�6 <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Tho undorsignad ownoi/applicnnt horoby egroes to hdd and <br />sove harmloss Iho Ciy ol Evcrett Irom any and ell claims lor <br />tlamegos, ^osts, oxponses, a:ausos ol oction that may ariso <br />because ol Inslallation end maintonance ol lhe imprwement oi <br />olhor righl�ol-way use horelo eppliod lor end lurther agraos to <br />remova same upon notico Iran Iho City nnd to replace public <br />-- tla aped 1 roby. <br />�-�- 1-31-a Z <br />S� Wro A am Date <br />WOtIH AUi110fiIZEG BV THIS PEPMIT MUST BE STARTED WITHIN 1B0 DAVS OF DATE pERMIT IS ISSUED AND TMEREAFTER IS TO BE DILIGENTLV PURSUED <br />TO COMPI[TION THIS PERMIT MAY BE CANCElLEO BY TNE CIiV UPON ANY STOPPAGE GF WORK ON iHIS FPOJECT OVER BO DAYS DURATION. <br />