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° ^ � ����'� �0��� Date 6/24f2005 <br /> - ,y�_;r ,;�,.-:-�„��:. � Public Works Permit# P�0506-035 <br /> PER�T �{ v�—=�����{.����r �.�a�� <br /> �,-_�:�R <br /> �"t��i'�. �%��:+��� guilding Permit# <br /> i;i ., <br /> i <br /> PUBLIC WORKS 4��,',.�F}T{�IE�.T s�-� V Planning Reference# <br /> 3200 Cedai��t're'�xt`�`'_'�`��'��`'"`' <br /> Everett,WA 98201 Public Works Fee$ ey.���_�}� <br /> (425)257-88IA ��;i�Ui"�;� ��:`�;e�.i.1 <br /> i� ����-�m���-� Guarantee$ <br /> e--�= - _�;,�, ; <br /> �. <br /> OWNER NAME ���r��,H �����N � APPUCANT N,AME D�� ���� <br /> AND ADDRESS: AND ADDRESS: <br /> x�a� Er��r��a� r�� <br /> Ev��r ��. g��as <br /> ' PHONE: LI�t�J��JQ�.��J.�3 PHONE: �.�^���:�#:i�IT� <br /> TAX PARCEL I.D.# PROJECTADDRESS: ��,��� �����k �N <br /> DESCRIPTION OF emQ�� �p` � . �t' � �' � 1C �41 • LE � �t}�;r �,_ �t7�+ O 1 <br /> PROPOSED WORK: <br /> PERMIT CONDITIONS <br /> 1. All calls for inspection shall be made 24 hours in advance-phone (425) 257-8810 <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 <br /> 4. T�rnp��r•ary �ro:ia�n c�ntrc�l mea�sur�s far constru�tson .��.i�*it.i�� must be r�p��atic�n�l � <br /> �ariaL ta �ramm�nceue«�n� r�f ��c�h��k � <br /> 5. ��rr#�ilian�:e �aith th� Nel�c,n �-��Gt.�?a.I�31i+G�I E11�1��.�.?�'i73[� ELT,31tt�tt.i�.a3� s.� z���uired, V� <br /> in�Iudinc� grac�ing a�icf erasi«n :�t�ntcr� <br /> 6. Frovi�e an�r additzonal er:��i�:�n �c�ntr�l t►r d�t�t. uup�ri����iv� a� �zrected b� �.h� � <br /> Pui�3.i� �I�rk� In�g�c�c�� O <br /> 7. 7�e�p c:it� �tr��t� �lean �t all �.�mes <br /> 8< �tc��k to be dane �aec �att,�ched �k�trh dated �,t.�3�05 � <br /> Z <br /> O <br /> � <br /> � <br /> O <br /> a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> The undersigned ownedapplicant hereby agrees to hold and <br /> � 5 �S save harmless the City of Everett from any and all claims for <br /> Ap oved for Construction ate damages,costs,expenses,or causes of action that may arise <br /> 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 propert amaged ther by. <br /> Approved as Constructed Date <br /> 7—5�-�S <br /> Sig Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br /> �p��r:�C 1-�c��o,� � ''7�,2��33'ri�• 7�3 <br />