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� PUBLIC WORKS
<br />PERMIT
<br />PUOIIC WORKS DEPARTMENT
<br />3200 Cedar SVeet
<br />Everet�, WA 98201
<br />,<z5� 2 fi6'���SiING �uN__ �- 4
<br />OWNERNAME �:iljil'1,�1�i-..
<br />ANDADDiiESS -
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<br />i;E1.LEVt'E:
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<br />Datc 4/LOj;.i.-: ��
<br />PubGc Works Permi� M�' W� � � 4-' �: a
<br />Dudding Permit N �-� U� G 4-�� 1 5
<br />Plannuip Relcrence M
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<br />Publlr. lVorks Fen 5 " ��
<br />Guaranlcc 5
<br />���iAl�kiANT CURPuF'ATION
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<br />PERMIT CONDITIONS .
<br />L� �, .7"� L���h�I���Ai, LA':��
<br />1. All calls for inspeclion shall be made 24 hcurs in advance - phone (425) 257�8810
<br />2. All work shall be perlamcW in accordance wi�h Oiis permil and currenl Cdy ol Everelt Design 2nd Conslruciion
<br />Siandards and Specificalions.
<br />3 Call Localion Underground Service 48 hrs. betore you dig. TOLL FREE NUMBER 1-b00-024-5555
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<br />=ont,�ct il� w:i:;1�uuL•; tu tha �]t �i�� �yr . f.,t._-m � i vi,L:•�i Cuc. ll�i:; :'.
<br />1,11 ex��avatod mat.eria] fl om t h�, foundat.iun, i�iewalks, 6 dtiv>�' �;' <
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<br />�INA1 INSPFCTION
<br />App�nveU ns Cansbuatrel Dab�
<br />04-16-02
<br />a
<br />6UILD
<br />NECH
<br />PLUFi6
<br />DRIVE
<br />SFCHG
<br />q
<br />SEWER
<br />UTILIIY
<br />+IAiER
<br />TOTAL
<br />9:59AM
<br />204015
<br />1139.35
<br />8D.00
<br />B4.00
<br />�5.00
<br />4.50
<br />204J16
<br />'i0. 00
<br />1613.00
<br />130.U0
<br />3145.8`
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<br />C!-I [ 1: 3 L15. B.;
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<br />ACKNOWLFDGEMENT OF CONDITIONS
<br />� The undersigned owncr;app6Can1 hereby ngrees to hotA and
<br />�.� save harmless Iho Ciry ol Evorcll 6om any nnd nll Gaims lor
<br />damages, msls, evpenses, or cnuses ol nction thal may anse
<br />bec�use ol mstalla0on and malntenance ol Ihe improvemunl or
<br />othm righl�ol�way use hemlo apphod lor and tunher eg�ecs lo
<br />rrmove same u{jon notica irnm the Cdy nn0 b replaca pu6lic
<br />. prop tly am�gsd Ihereby
<br />�k�\� _y�llilo�.
<br />S��Jnalw A tlrttdnl lle
<br />WORN AUTNORIZED BY TNIS PERMIT MUST OE STARTED WITHIN 18D DAYS OF pATE PEFMIT IS ISSUED RNO �NEREAF�ER IS TO BE UILIGENTIY PUHSUED
<br />10 CO4�Pl1[iION iHl> PPRMIT MAV (1G C�NQLL[D I7Y THf CITV UPON ANY SIOPPAGB OF WORN ON THIS PROJFCT OV[R �JJ DAYS DUR�TION
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