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PY rI`1� l7� O! �■_� Da�n �:���Q�Q <br /> Public WorKs Permit p FQ0402•-001 <br /> pER11Al'T $��01-��' <br /> Building Permil k <br /> PUBLIC WORKS DEPARTMENT Planning Reference q <br /> 3200 Cedar Streei <br /> Everett,WA 98201 Public Works Fee S $90.OQ <br /> (425)257-BQ Nry��l�� ' <br /> �n ��� �' `� 1 , Guarantee 5 <br /> OWNCRNAME ]�'� j�D CORY �SZ3O APPLICAN7NAMF. <br /> AND4DORESS: PO BOY. 8431 AND<.DDRES<: <br /> A)1RRISSUkG PA 17105 <br /> PHONe: 9257665006 PHON[: <br /> TA%PARCELI.D.0 OOSBI9OOOO�801 PRaECTADDRESS: 99�0 EVEP.GP.EEN WAY <br /> DESCRIPTIONOF TENANT IMPROVEMEh'TlDP.IVE THP.OUGfi <br /> PROPOSEC 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 o( Everett Design and Conslruction <br /> Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424•5555 <br /> 9. As per approved plan datzd 2-2-09. W <br /> 5. Contcol tracking of mud � diet onto paved sucface3. Keep city stceets clean at all � <br /> times duriny construction. �� <br /> � <br /> 03-�i-G+ 3�(;ii='� � <br /> Et 40?.0:::'i <br /> �:!lI!.D 7.�3?,."�i' � <br /> ,i,CNu << �c � <br /> :i [�O�C.U. <br /> ':J/�i4J �O,Oi' O <br /> � ;-�� �o.oc �." <br /> �-f.)I: _ il%e .::` '^ <br /> _ - ,_- 1 V, ', <br /> ; , � <br /> a <br /> ACKNOWLEDGEMENT OF CONCITIONS <br /> � <br /> � � <br /> � Y�/ (� % 7 � � The undersi�ned owner/applicant hereby agrees to hold and <br /> � save harmless the City of Everett from any and all claims for <br /> ppmvea Iqr onsimceo Daie damages,costs,ezpenses,or causes ol action Ihat may arise <br /> 6ecause of installation and maintenance ot the improvement or <br /> P, /� olher right-o4way use hereto applied for and lurther agrees to <br /> - - L° — – remove same upon notice from ihe Ciry and to replace public <br /> FINAL INSPECTION pmpeAy damag�� by� — <br /> Approvetl,s Conslm[!ed �a�e <br /> � �1 , .�,� � l �� <br /> Signaiure ol A icant D le <br /> WORK AUTHORRED BY 7HIS PERtdIT Mi!ST BE STARTED 1NITHIN 780 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED <br /> TO COhiPLETION.THIS PERMIT M17AY BF CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAVS DURATION. <br />