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� � <br /> �� <br /> P���'� �o��� Date <br /> Public Works Permit# <br /> P E R M 1 T 8uilding Permit# <br /> � PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ <br /> (425)257-8810 <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDRESS: AND ADDRESS: <br /> _ �.�-s - •"i'•'. <br /> ..-.�- <br /> PHONE: PHONE: <br /> TAX PARCEL I.D.# PROJECTADDRESS: <br /> DESCRIPTION OF <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance. <br /> 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555 W <br /> � <br /> �it� n�w f��. �/'� <br /> 5. Fenc:e an th� �++ <br /> E. Tn� fen�.e ir .__ M <br /> 7. The fen�ee ��n th�. side LLI <br /> and up �* after that. O <br /> 7. In the �v�nt. tha+ t.he � <br /> -.#' -�,�� -�f ;.-. . +-.,.. �.- <br /> Z <br /> O <br /> � <br /> � <br /> � <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned owner/applicant hereby agrees to hold and <br /> save harmless the City of Everett from any and all claims for <br /> damages,costs,expenses,or causes of action that may arise <br /> Approved for Construction Date because of installation and maintenance of the improvement or <br /> other right-of-way use hereto applied for and further agrees to <br /> remove same upon notice from the City and to replace public <br /> FINAL INSPECTION property damaged thereby. <br /> Approved as Constructed Date <br /> Signature of Applicant Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DAl E PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOF'PAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> EPWP(7/O6) DATABAR,INC. <br />