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PlJBL1� IA/ORK� <br />PERMIT <br />PUBLIC WURKG LEPARTM<N1 <br />3200 Cadar Slreet <br />[verett, WA9B201 � 3 Z��� <br />,<z5,�� �y� ST I N G_;�P z <br />o�i� i�;.sc,;��,ui / <br />i <br />PubliCWorkSPonnAa t'iaUll.:-C�?`�� <br />Building Permit u <br />Planning Rclerencc a <br />Public Works Fee S <br />Guarantcc S <br />c��� i�-��. �: <br />pt1A[Q;AP1i �.uL�'��(2A"i'I��t� P�PLIGANTNAMEoUAURANT i'!iRFi�RATIUN <br />P VD ADDRE55�. <br />YO BJ% 13u PO Bu:{ 130 <br />BELLEVUS WA ��:;pU9 F�ELL,EVUE WA 380i�9 <br />PMONE ( 4: �i ) 455-:90(I <br />TA%PARCGLID � QI)'�.',?qU0110: l0U <br />DESCRIPTIONOF NE:W '{(IU.�F - RASI�� :.]S� <br />PROPOSEO WORK <br />P �a <br />PERMIT CONDITIONS <br />P'IONE. ( Q;:�J � 4 J�J'.�.�inlJ <br />23:.8 119TN PL SE <br />�r,. I)U <br />1. All cnlls lor inspoc�ion shall be made 24 hours in advanco • phone (425) 257�BB10 <br />2. All work shall be pedormod in accordance with Ihis permit and currenl City ol Everetl Design and Conslruclion <br />Standards and Specilications. <br />3. Call Location Underground Service 4B hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br />q. i'c,»;�o�t ��id�:� ���w�.t ���+,t i'ity o( F.vc•z�t_L sta[��i,�rdc bi�l, �;p2 f. tiu4. <br />r�,nne�_r duwn:;p��uts to Lh�� �1�._iiniqe syst.em pcnviriNd fuc tl�i, lut <br />��. All excavated mat.eii�l 1c��,m funndatiun, �:i�3rwr�lk aur3 diiv.�way;. _;I,all <br />1�� hauled to a�� approveci, F�,-rmitt,��1 ait.�� IJu wa::� in�.i of ina�..ti ,l i�: <br />::�l:oW...�� on tl�i� l,��1]cliu�.7 l�,t _ <br />7. 1Pe��ove and he�lacc �ic 6,-d,h�„ conc.�iE drivcaay �ane� <br />4lon� r�h:s Lo�s �ronf49g • <br />` �3/ � <br />Apg vntl for Corevucuon Dat <br />��� 8 -2? -0z <br />FlNM INSPECTION <br />A�ro+M es 0. buctiM Daln <br />t:UE <br />��� <br />JMc <br />.VCi\ <br />..t <br />.p.Jn. �;'. <br />U1/ � r, <br />105.; <br />O�Oif;!' <br />l�,�� <br />�bl:.:i <br />SJO.. <br />ACKNOWLEDGEMENT OF CONDITIONS <br />Thu unAcrsignod ownodapplicenl horeby agroos lo hdd erW <br />savo hermloss tho Ciry ol Evoretl Irom eny and all dalms lor <br />damagos, cosis, nzponses, or causes of action Ihal may arfso <br />becauso ol Installa�ion antl mainlenance ol tho imprrnoment or <br />othor righl�ol�wny uso herolo epplind foi and lu�her egraes to <br />mmrn�o same upon notico Irom tlio City anA lo repWco public <br />da agedthereby. — — <br />i-�ID- 7� <br />s � � � ���e�� -- oa�a <br />WORK AUTHORIZED BY TMiS f'ERMIT MUST OE STnRTED WIiMIN 100 DAVS OF DATE PERMIT IS ISSUED AND TH[REAFTER IS i0 BE DILIGENiLY PUHSUED <br />TO CONFLETION THIS P[RMIT MAV O[ CANCELLED OY THE CITV UPONANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 �AYS DURATION. <br />`W <br />r <br />V/ <br />�ii <br />� <br />Z <br />O <br />f�^ <br />vI <br />O <br />a <br />