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PUBLIC WORKS Date �Z�Z4f��05 <br /> Public Works Permit# ��0511—a22 <br /> ����'� Building Permit# <br /> PUBLIC WORKS DEPARTMENT Planning Reference# <br /> 3200 Cedar Street <br /> Everett,WA 98201 Public Works Fee$ $25.00 <br /> (425)257-8810 <br /> Guarantee$ <br /> OWNER NAME APPLICANT NAME <br /> AND ADDRESS: 1,'j�� L'i'jsj{j�,j�j�"j ��i AND ADDRESS: <br /> E�IERETT T,� 9�;�Q J <br /> PHONE: ��5�7����'1� PHONE: <br /> TAX PARCEL I.D.# PROJECT ADDRESS: � �.�� uNfs�,�P��3 �i�� <br /> 1 . <br /> DESCRIPTION OF J-��Jj��� ��,f � ��� �'r� aj„�,,�„ `�v�G <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. If t.tt� �ity �v�x� ne��ls t�,� �:�� t.hi� ��:•�� f�r munz=.;i�aal �ra�a•��r,�;,�.sF th� fen�e must ���* , W <br /> reu�s�ved a� th� owi�p€:'� ��.�,�eg4��� <br /> � <br /> 5. The f�n�� sha31 nc>t �:��,��� E,� �� h�i�h� _ � <br /> , _`� `~- � <br /> � �::::; <br /> , _ ,:,�....;,: .��,.' W <br /> , ......; _ <br /> ;s,��= .-,-.; ;:.�, <br /> „�., �..,V � <br /> '�'�:1 <br /> ,.; ,::;::�i;.::it � <br /> � <br /> J'^� O <br /> �,:d <br /> .�e;, ,.ry. ,.. ... � <br /> .a� <br /> '.. ..,, ,}�.� ...._ � � <br /> ....:.�.�I:��:Y.«,.. O . <br /> - a <br /> ACKNOWLEDGEMENT OF CONDITIONS <br /> �,. The undersigned owner/applicant hereby agrees to hold and <br /> � �� �j save harmless the City of Everett from any and all claims for <br /> pproved 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 ied for and fu r agrees to <br /> remove same upon notic o he Cit a replace public <br /> FINAL INSPECTION pro y �-- -- �� ��---- <br /> Approved as Constructed Date <br /> ' nature of ' a D e <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 />